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Adoption Inquiry Form

Please fill out this form with whatever information you would like to share at this point. For adoption, you can inquire about specific children or provide an idea of the kinds of children that you would like to consider. We will get back to you immediately. The more information you provide, the better we are able to suggest children who might be a match for you. If you don't have an answer for a particular question, just leave it blank.

If you have already registered and would like to ask a question, please contact us.

IMPORTANT: If you have already submitted and/or partially filled out this form, please login to site to load your information. your login details were sent to the email address you supplied. Click here if you have lost your password. You will receive a link to create a new password via email. *= required field

Adoption Inquiry Form Adoption Inquiry Form

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Basic Information: Parent 2

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If yes please answer questions below

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Children Information

Instructions
Please list the children who are living in your home. Each child on a single line.
NAME, AGE, GENDER, STATUS (biological, adopted, foster)

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Pets

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Past Parenting Experience


Have you parented or fostered children with any of the following

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Home Study Information

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Type of home study (check all that apply

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Instructions


Adoption Worker Information (Skip this section if you do not have a home study)

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Upload your home study
Please note that uploaded home studies will be automatically emailed to lradcliff@childnet.us

Your Interests


What are you interested in? Please provide as much information as possible. Check all that apply.

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Do you prefer?

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Are you open to adopting siblings?

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How many siblings are you willing to consider? (check all that apply)

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What ages are you interested in or willing to consider?

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What race(s) are you interested in or willing to consider?

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What levels of disabilities are you willing to consider?

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Are you willing to consider maintaining contact with:

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