FAMILY
LN:
YOU
Name:
Age:
Occupation:
Disabilities:
Hobbies:
Significant other
Name:
Age:
Occupation:
Disabilities:
Hobbies:
Current children: (names, ages, disabilities)
Others living with you: (names, ages, disabilities)
Pets:
Housing
Type: (house, apartment, farm, mansion, etc.)
Location: (country)
Land owned:
Bedrooms:
Bathrooms:
Other:
What is/are the household’s religion(s)?
What language(s) do household members speak?
Do you travel? If so, how often and where to?
ADOPTION
How many children would you like to adopt: [4 max]
Gender(s):
Age: [newborn-17]
Nationality:
Languages preference:
Religion preference:
Multiples: [specify twins, triplets, or either]
Will you accept:
--siblings?
--kids with pets? (what kind and gender)
--children with disabilities? (mental, physical, emotional and severity; terminal)
--pregnant teen/teen mother?
--baby’s father?
Other:
We will do our best to match you with the perfect children.
This message was edited 4/17/2008, 5:45 PM