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Last Name: Smith
Spouse name and age: Christopher James 27
Your name and age: Victoria Raeann 27
Children names and age:
Avarie Quinn 4
Taya Raine / Kiena Storm 2
Pets: a dog Leo
Location were you live:
Boston Mass.

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Children Form:
Amount of children(up to 6): 4
Age: newborn-2 or 16
Gender: male / female 2 of each if possible
Country: Sweden, Russia, Ireland, Poland
Twin: yes
Triplets: yes
More: yes
Siblings: yes
Any problems: yes
--If yes how mild or bad:
Emotional problems no major disease or birth defects