(Picture)

Age:

Religion:

Education:

Employment:

Height:

Eye Color:

Hair Color:

 

Age:

Religion:

Education:

Employment:

Height:

Eye Color:

Hair Color:

 

                 Number of years married:

                 Number of other children:

                 State of residence:

How We Met:

 

 

 

 

 

Qualities We Love, Admire and Respect in Each Other:

 

 

 

 

 

Our Hobbies and Interests:

 

 

 

 

 

Why We Want to Adopt:

 

 

 

 

 

 

Husband’s Name       Wife’s Name

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