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Are you currently legally married?
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If single your age, if married age of elder spouse
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Number of children currently living with you
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Are you willing to travel to adopt? An answer of ‘no’ will extremely limit your choices.
Yes
No
Would you consider a sibling group?
Yes
No
What age range would you consider?
Min age:
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Max age:
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Do you have a preferred choice of Race?
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No
If Yes, select your race choice(s) below:
African/Black
Asian
Caucasian/White
Hispanic/Latino
Native American
Asian Indian
Multi-racial
Would you consider a child with special needs?
Yes
No
If yes, please select all those special needs that you would consider. You may click on a special need to read a description in a new browser.
Albinism
Ambiguous Genitalia
Amniotic Band Syndrome / Missing Limbs
Anal Atresia / Imperforate Anus
Apraxia of Speech and Muteness
Arthrogryposis / Joint Disorders
Autism Spectrum Disorders (ASD’s)
Blind / Sight Impaired
Brachial Plexus Injury
Burns
Cataracts
Cerebral Palsy
Cleft lip or palate
Club foot
Congenital Blue Nevus
Congenital Nevi
Deaf / Hard of Hearing
Diabetes
Down Syndrome
Dwarfism
Eczema
Epilepsy
Failure to Thrive
Fetal Alcohol Syndrome
Funnel Chest / Pigeon Breast
Heart Defect
Hemifacial Microsomia
Hemophilia
Hepatitis B Positive
Hernia
HIV Positive
Hydrocephalus
Ichthyosis
Lazy Eye
Lead Exposure
Limb Differences
Lymphedema
Megacolon
Meningocele
Microtia and Atresia
Missing Eye
Nystagmus
Older Child (above the age of 3 years)
Osteogenesis Imperfecta
Port Wine Stains
Premature Birth
Psychomotor Development Retardation (PDR)
Ptosis
Radial Club
Rickets
Scoliosis
Seizure Disorder/ Epilepsy
Spina Bifida
Strabismus
Teratoma
Thalassemia
Toddler age (18 months – 3 years)
Torticollis
Do you wish to adopt from specific geographic area(s)?
Yes
No
If Yes, select your area choice(s) below:
Africa
Asia
Caribbean Islands
Eastern Europe
Latin America
USA
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