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Surname: Jefferson
Your name & age: Carter Robert - 32
SO's Name & age: Amelia Renee - 30
Current children (names and ages): Ella Rose - 7 months, Emily Grace - 3, Elijah Robert - 5, Evangeline Marie - 8, Evan Carter - 10
Pets: Sasha (dog), Rowena (cat), Plum (rat), Kumquat (rat)

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Number of children you want to adopt: 5
Preferred Gender(s): either
Preferred Age(s): 0-10
Country: any

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Please put yes or no for the following.
Siblings: yes
Twins: yes
Triplets: yes
Quads: yes
Pets: yes
Teen Parent(s): no
Pregnant Teen: no

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Disablities
Social: mild
Mental: severe
Physical: severe
Learning: severe