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I know this isn't very creative and I'm not the first to do it recently, but hey!

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Welcome to the agency! We would like to make a match which will suit both you and the child or children you adopt, and so we would appreciate it if you would fill out the form below.

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Current Family

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Parent 1
Name:
Age:
Occupation:
Short bio:

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Parent 2 (optional)
Name:
Age:
Occupation:
Short bio:

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(This form can be filled in for any number of prospective parents: 3 or more is not an issue!)

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Current Children (if any)
Name:
Age:
Short bio:

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Please fill this in for each child the family already has

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Others living with the family
Name:
Age:
Occupation:
Short bio:

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This should be filled in for anyone who lives permanently with the family; grandparents, family friends, etc

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Location:
Main Language(s): Languages in which everyone, or at least both parents, can speak fluently
Other Language(s): Languages spoken by only some of the family, or less fluently spoken
Religion(s):
Pet(s):
Anything Else: Any details about health conditions, the family's financial situation, or anything else you feel is important

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Adoption

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Leave blank if you have no preference
Preferred Number:
Preferred Gender:
Preferred Age:
Preferred Religions:
Preferred Nationalities:
Would you adopt...
Siblings?
Multiples?
Children with a criminal record?
Physically or mentally handicapped children?
Teen parents or pregnant teens?
Mentally ill children?

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Anything else? i.e, a closed adoption, no siblings to be split up

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http://www.behindthename.com/pnl/156089
My PNL!
Top: Theodore & Violet
Bottom: Melchior & Ida