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LN: L________
H: Jon
W: Melissa
Any other children?: Arielle Norah due June 4, 2006

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# of children to adopt (as many as you like): 2-3
Any preferred countries: US
Any preferred gender: At least one sister for Arielle
Any preferred ages: 5 and under

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Would you be willing to adopt...
Sibsets: Yes- that is our preference
Sibsets?: B
If yes, a) a sibset plus other children or b) one sibset altogether?:
eg. a) a brother and sister, and also 2 more children or b) two brothers and a sister

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Multiples:
Twins?: Yes
Triplets?: Yes
More?: No

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Disabilities:
Physical disabilities (eg. Deformities): No
Emotional disabilities: No
Mental disabilities (eg. Down Syndrome): No
Long Term Illness (eg. Cancer): No

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Travelling
Would you be prepared to travel...
--abroad to visit family (eg. Africa): No
--to far away hospitals (eg. 5 hours away in the same country): Yes
--a long way to family: Yes

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Pets
Would you be prepared to look after the child's pet? Some pets
If so, are there any pets you wouldn't look after? (eg. snakes, spiders, or anything you are allergic to): Reptiles, large dogs, bugs
Any preferred pets? Cats, small dogs, hamsters & guinea pigs.

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- Melissa

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Arielle Norah
EDD 6/4/06

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Proud Mommy-to-be!