Help Us Better Serve You

Help Us Better Serve You!

To ensure you receive the most relevant updates, events, and opportunities, we’re refreshing our records to better understand and serve our entire community—including adoptive families, professionals, and valued partners. Your input helps us share information that’s meaningful and tailored to you. We’d be so grateful if you could take a few moments to complete this form.

* First name

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* Last name

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* Email

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* Phone number

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* Address

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* City

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* Country

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* State/Province

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* ZIP/Postal

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Adoption Community Partner

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Company

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Adult Adoptee (Y/N)

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Partner/Spouse First Name

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Partner/Spouse Last Name

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Partner/Spouse Email

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Adoption Professional (Y/N)

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Adoptive Parent (Y/N)

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Birth Parent (Y/N)

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Prospective Adoptive Parent (Y/N)

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Other connection to adoption (please specify)

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Child's First Name

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Child's Last Name

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Child's Birthday

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Is your child an adoptee? (Y/N)

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Child 1: Country Adopted From

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Child 2 First Name

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Child 2 Last Name

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Child 2 Birthday

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Is child 2 an adoptee? (Y/N)

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Child 2: Country Adopted From

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Child 3 First Name

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Child 3 Last Name

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Child 3 Birthday

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Is child 3 an adoptee? (Y/N)

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Child 3: Country Adopted From

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Child 4 First Name

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Child 4 Last Name

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Child 4 Birthday

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Is child 4 an adoptee? (Y/N)

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Child 4: Country Adopted From

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List any additional children below

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Additional Comments

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