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Your Name and age:
Spouse's Name and age:
Location
Child(ren)s' names and ages (if any):
Willing to travel to visit child's home country?
Language(s) spoken:

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Number of Children (max 4):
Gender:
Ages:
Country/ies:
Languages spoken:
Siblings?
Twins?
Triplets?
Quads?
Emotional disabilites?
Physical disabilities?
Social disabilities?
Mental disabilities?

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Thank you! We will get back to you as soon as we can.

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