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Username: bananarama
LN: Piatek

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Your name: Edward Jan
Age: 38
Occupation: doctor
Interests: hiking, swimming, surfing
Disabilities: None
Smoke? No
Drink? No

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Significant Other: Paula Angeline
Age: 38
Occupation: psychologist
Interests: talking, writing, children
Disabilities: Infertile after first child.
Do they smoke? No
Do they drink? No

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Children (name, age, disabilities, interests):

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Name: Leonard Rafal
Age: 7
Interests: swimming, soccer, drawing
Disabilities: None

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Others living with you: None

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Pets (name, gender, and species): 2 cats name Katya and Katrina, 1 chihuahua named Tinkerbell, at least 10 fish

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Location: Melbourne, Australia
Nationality: Edward is of Polish ancestry, and Paula is of Polish, Italian, and English ancestry
Languages spoken: Polish, English, Italian
Religion: Catholic
Other: None

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Adoptee(s):
Number of children you’d like to adopt (max 5): 5
Genders: 3 boys, 2 girls
Ages (newborn-19): 1 boy aged 7-10, the rest aged 13-17
Nationality/Country of origin: Poland, Italy
Language preference: Polish, Italian
Religion preference: Catholic

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Will you accept:
-Children with pets (what kind?): Yes, cats, chihuahuas, rodents, or fish
-Siblings?: No
-Best friends: No
-Neighbors: No
-Disabilities? (kinds and severities, mental, physical): Yes, mild to moderate physical
---- Children with long-term illnesses or medication requirements: No
-Multiples (twins, triplets, quads): No
-Pregnant teenagers: No
-Teenage mother/father (which or both): teen father
Will you allow them to stay in contact with non-abusive sibs and parents?: Yes!
Other: We would like one girl to be a lesbian.