Fill in this list:
Your Last Name:_____
Your full name and age:___________
Your spouses full name and age:_____________
Your childrens full names and ages:_______________
How many children are you willing to adopt (max. 6)
What gender(s):
What age (0-15):
Are you willing to adopt:
Siblings: yes/no
Cousins: yes/no
Twins: yes/no
children with problems: yes/no
---if yes, what problems? (emotional, physical, mental)
children with a pet (such as a dog or cat): yes/no
We have children from different eras, please tell us what era you like to adopt from:
*1851-1900,
*1901-1920,
*1921-1940 or
*1941-1960
xx-Eljah
This message was edited 7/6/2006, 10:23 AM