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Last Name:
Your name and age:
Your spouses name and age:
Your children and age:
Pets name:
Location:
Do you travel:
--If so, how much:
Do you live with any other family members (grandparents):

---

How many children do you want to adopt(max 5):
Gender:
Age:
Will you take-
--twins:
--triplets:
--quads:
--more:
--teen mother:
--teen father:
--married w/child teens:
--pregnant teens:
--siblings:
--cousins:
--good friends:
--singles only:
Will you take children w/disabililies:
--social:
--emotional:
--physical:
Will you take children with behavior problems:

This message was edited 1/19/2007, 4:43 PM