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*At least one Prospective Parent is a US citizen
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YES NO |
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| *Prospective Parent Name |
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*Address
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*City
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*State
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| *Zip |
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| *Please contact me: |
by phone
by email
send me a packet only at this time
send me a home study packet (for Oregon families) |
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| Home Phone |
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| Work Phone |
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| Email address |
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| *Number of children interested in |
1 2 |
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| *Gender of child interested in |
Male Female Either |
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| Age (or age range) of child interested in |
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| *Country interested in |
Ethiopia Russia China (on hold)
Other (please specify) |
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*Do you already have an adoption in process?
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YES NO
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| How did you hear about Dove? |
Internet Search
Friend
Dove Family
Yahoo Forum
Adoption.com
Social Worker
Other (please specify) |
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Comments or Questions
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* Asterisk denotes required field |
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