pregnant? considering adoption?

Birthparent Information Request Form
  1. Considering Adoption Information Packet

    If you are pregnant and believe adoption may be the best choice, we're here to help you.

    Call us toll free at 1-888-733-7754 or complete the form below and we'll contact you shortly.

  2. Please choose all that apply:
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  5. First Name:
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  6. Last Name:
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  7. Email Address:(*)
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  8. Phone:(*)
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  9. When would you like us to call?
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  10. Street Address:
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  11. City:
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  12. State:
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  13. Zip:
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  14. Should we call as a Blocked/Private Number?
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  15. Also mail me a confidential packet (3-5 business days)
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  17. Families I'm open to:

  18. Gay Male Couple
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  19. Lesbian Couple
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  20. Traditional husband and wife couple
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  21. Financially Stable Single Woman
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  22. Financially Successful Single Male
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  24. Do you know the sex of the baby?
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  25. What is your race:
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  26. Race of the Baby's Father:
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  27. Due Date:
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  28. Your Age:
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  29. Any special needs or additional comments:
    No links are allowed.

By submitting the form you will be emailed our Considering Adoption Information Packet.

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LifeLong Adoptions is an independent contractor and under the supervision of Lutheran Child and Family Services, License #012998. Marketing and advertising, identifying a child for adoption, matching adoptive parents with biological parents, and arranging for the placement of a child are services provided by LifeLong Adoptions under the supervision of Lutheran Child & Family Services , One Oakbrook Terrace Suite 501 Oakbrook Terrace, IL 60181. (708)771-7180

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