I am
Adoptee
Birthmother
Birthfather
Birth Sibling
Spouse of Adoptee
Other Birth Family Member
Friend of Adoptee
Friend of Birthmother
Friend of Birthfather
Friend of Birth Sibling
Adoptive Mother
Adoptive Father
Adoptive Sibling
Other Adoptive Family Member
In Search of
Adoptee
Birthmother
Birthfather
Birth Sibling
Any Birthfamily Member
* My Current Name
* Current Address
* Current City, State and Zip
* My Phone Number is
* Alternate Phone Number is
* Email Address
* Re-enter Email Address
* Facebook Link
* Name/Address of relative/friend
* Relative/friend Phone Number
* Relative/friend Email Address
Adoptees DOB
DOB Range
Gender
Race
Adoptee's First Name at Birth
Adoptee's Middle Name at Birth
Adoptee's Last Name at Birth
City & State of Birth
County of Birth
Country
USA
Canada
Austrailia
UK
Germany
France
Japan
China
Vietnam
Mexico
Africa
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Birthmothers First Name
BM Middle Name
BM Maiden Name
BM Last Name at time of Birth
BM Age at time of Birth
BM DOB, if known
BM Normal Place of Residence
List BM alias names or previous married names and explain
Birthfathers First Name
BF Middle Name
BF Last Name
BF Age at time of Birth
BF DOB, if known
BF Normal Place of Residence
Marital Status
Both Unmarried
Married to each other
Both Married to someone else
Separated
Divorced
BM Single, BF Married
BM Married, BF Single
Unknown
Mother single ?
BM/BF not married at time of adoption
unwed at the time now on second marriage
Possibly divorcing
Dont Know
u/k
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List Name, Gender, DOB or age of older Siblings
List Name, Gender, DOB or age of younger Siblings
Hospital
Delivering Doctors Name
Time of Birth
Weight at Birth
Length at Birth
Age of Adoptee at time of relinquishment
Adoption Agency
Date Adoption Finalized
Attorney/Firm
Orig Birth Certificate #
Amended Birth Certificate #
I have received Non ID Info
Yes, have received
No, applied and awaiting results
No, I will apply with Agency/Lawyer
Adoptee's First Name after Adoption
Adoptee's Middle Name after Adoption
Adoptee's Last Name after Adoption
Full Name of Adoptive Mother
Maiden Name of Adoptive Mother
Full Name of Adoptive Father
County of Adoption
City/State of Adoption
DNA Companies I've tested with and GEDMatch #
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