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Welcome to Ember's Adoption Agency! Please fill out the form below if you would like to apply to adopt a child. We will only match your family with one child, but if you would to adopt another once your first child is settled in, that can be arranged. Just note that we will go through other applicant's forms before giving you your second child.

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Please tell us how your child is doing with your family once he/she is settled in!
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YOUR FAMILY:
Names and ages of all family members:
Details about your current children, if there are any (so that we can find a good sibling):
Where do you live?:
Do you have any pets? What kind and temperament?:
Would you rate your monthly income as high, medium, or low?:
Anything else we might need to know?:

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YOUR NEW CHILD:
Gender preference?:
Age preference?:
Ethnicity or language preference?:
Closed or open adoption?:
Pregnant teen?:
Would you be willing to take in a child with a severe, moderate, or mild physical disability?:
Would you be willing to take in a child with a severe, moderate, or mild emotional disability?:
Would you be willing to take in a child with a severe, moderate, or mild mental disability?:
Anything else we might need to know?:
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Thank you for applying! We will notify you as soon as we can.

This message was edited 8/29/2007, 4:25 PM