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Pre-Inscription Form 1st Applicant First and Last Name : Age : Occupation : Employer : 2nd Applicant First and Last Name : Age : Occupation : Employer : Information on the couple Street Adress: Town : Province : Country : Postal Code: Telephone Number: E-Mail : Maried ? Yes No  Number of Years? not married 1 year 2 years 3 years 3 -5 years 5 - 7 years 7 - 10 years 10 - 25 years 25 years+  Have any Children ? Yes No  How Many ? 1 2 3 4 5 6 7 8 9  Age(s) ? 0-6 months 6 -18 months 18 months - 3 years 3 - 5 years 5 - 10 years 10 - 13 years 13 - 16 years 16 - 18 years Adoption Preferences  Sex of desired Child ? Male Female doesn't matter  Age of desired Child ? 0 - 35 months 36 - 47 months 48 months or more doesn't matter Comments If you have additional information please enter it here : write here... Home | Opening an Account | Steps for an Adoption | Commonly Asked Questions | Testimonial Pre-Adoption Form | Adoption Cost | Downloads | About Us | Contact Us

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