Abrazo Adoption Associates, San Antonio, Texas

CONFIDENTIAL INFORMATION REQUEST

Note: Fill in as much or as little info as you're comfortable with; just make sure you provide enough for us to contact you in the method(s) you prefer.

My name:
E-mail:
Street address:
City:	ST: Zip:
Phone number:
My age:	My birthdate:

I am: Single Engaged Separated Married Divorced Widowed

I am considering an adoption plan for my unborn baby, due

I am considering an adoption plan for my boy girl, age:

My child's father:	Agrees with my adoption plan
	Doesn't agree with my adoption plan
	I don't know how he feels about adoption

Please contact me by: Phone U.S. Mail E-mail

Send me free, color profiles on waiting families who (choose one from each group):

Are waiting to adopt their first child
Are already parents, so my baby will have a brother and/or sister
Either is okay

Offer a fulltime, stay-home parent
Plan to continue working after placement
Either is okay

Live in Texas
Live outside of Texas (specify any preference):
Either is okay

are
Protestant
Catholic
Jewish
Other (specify):
No preference

seek to adopt a child who is
Anglo-Causasian
Hispanic
African-American
Asian
Mixed race (specify):

Additional notes:

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