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Surname: Smith
Names and ages of applicant(s): Elise Matilda, 25 and Brandon Matthew, 28
Names and ages of current children, if any: Tallulah Poppy, 2
Species of pets, if any: none
Any smokers in the home?: no
Languages spoken: English and French
Current location: England

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Preferred number of children: 2 (up to four)
Preferred ages: 0 - 5
Preferred genders: any
Preferred country/ies: any
Would you be willing to adopt..
..siblings?: yes
..multiples?: yes
..a pregnant teen?: yes
..a teen parent and their child(ren)?: yes
..a child with mental disabilities?: yes
..a child with serious allergies or medical conditions?: yes
..a child with strict religious beliefs?: no
..any pets that the child may own?: no