AdoptHelp
April 21st, 2018
Confidential 24 Hours
800.637.7999
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CONTACT US
1
Family Types you prefer: ( Select All that apply )
Any Family Type
Male + Female Couple
Same Sex Female Couple
Same Sex Male Couple
Single Female
2
Age Ranges of Adoptive Parent(s) you prefer:
( Please select all that apply )
20 – 35
35 – 50
51 +
3
Prefer Adoptive Parent(s) with children?
( Please select all that apply )
Yes
No
No Preference
4
Religion of Adoptive Parent(s)?
( Please select all that apply )
Any Religion
No Religious Affliliation
Catholic
Jewish
Hindu
Christian
5
What is your race / ethnicity ?
( Please select all that apply )
African American
Asian
Caucasian
East Indian
Hispanic
Middle Eastern
Pacific Islander
6
What is the race/ethnicity of the biological father?
( Please check all that apply )
African American
Asian
Caucasian
East Indian
Hispanic
Middle Eastern
Pacific Islander
7
What is the gender of your baby?
Boy
Girl
Don’t Know Yet
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