Surname: Jones
Your name & age:
Anastasia Elisabeth "
Ana"
SO's Name & age:
Jeremiah EzekielCurrent children (names and ages):
DS:
Christian Paul (22)
DD:
Grace Rebekah (17)
DD:
Eva Rae (16)
Pets: Beethoven (St.
Bernard)
Number of children you want to adopt: 3
Preferred Gender(s): either
Preferred Age(s): under 17
Country: Romania, Russia,
France, England, U.S.,
Ireland
Please put yes or no for the following.
Siblings:
Twins:
Triplets:
Quads:
Pets:
Teen Parent(s):
Pregnant Teen:
Disablities
Please put "no", "mild", "severe" or "any".
Social:
Mental:
Physical:
Learning: