Welcome to Loxandra's Adoption Agency.
Our motto is “A home for every child”
Please fill the following form
Family Information
Last Name:
HUSBAND
Name surname
Date of birth
Place of Birth
Occupation
WIFE
Name surname
Date of birth
Place of Birth
Occupation:
Children: [names, ages]
Location:
House Type: [including number of bedrooms]
Household Religion:
Household Languages:
Why you want to adopt?
Other:
Adoption Form
Number of Children:
Countries:
Ages:
Genders:
Multiples:
Siblings:
Pregnant Teen:
Teen Parent:
Health problems: Yes No
HIV positive: Yes No
Mental problems: Yes No
open/close adoption:
Any other Comments:
We are going to send you photos and information about the children who *match* to your criteria immediately.
Laet us know how your later life with the kids are!!!
This message was edited 4/27/2008, 4:05 PM