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Last Name: Danson
Your Name and Age: Beulah Grace, 30
Spouse's Name and Age: Harry Michael, 33
Current Children and Ages: n/a
Pets: n/a

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Basic Adoption Information
How many children would you like to adopt?: 3
Where would you adopt children from?: Anywhere
Which gender do you prefer?: 2 girls and a boy
Which age range do you prefer?: 10+
Would you adopt a child with a pet?: Yes
Would you adopt a child with a disability?: Yes, a mild one.

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Other Adoption Information
Would you adopt twins?: No
Would you adopt triplets?: No
Would you adopt higher-order multiples?: No
Would you adopt siblings?: Yes
Would you adopt cousins?: No
Would you adopt close friends?: Yes
Would you adopt a child with an emotional disability (please indicate severity)?: Yes, mild
Would you adopt a child with a physical disability (please indicate severity)?: Yes, mild
Would you adopt a child with a mental disability (please indicate severity)?: Yes, mild
Would you adopt a child with multiple disabilities?: Yes
Would you adopt a child with special dietary needs? Yes
Would you adopt a child with a small pet (no dogs/cats)?: Yes
Would you adopt a child with a medium pet (dogs/cats)?: Yes
Would you adopt a child with a large or outdoor pet (horses/goats/large dogs)?: Yes
Would you adopt a pregnant teenager?: Yes
Would you adopt a teenage parent/family?: Yes