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Finding in Florida Birth Family Registration Form

YOUR Name: (NOT posted online.)
  If female, your husband's name:
Date of birth of adoptee:
  What is adoptee's gender?
Who are you in relation to adoptee?
  Adoptee's city of birth (if known):
  Hospital in which adoptee was born:
  Adoption Agency or Attorney:
  Birth name of adoptee:
  Name of adoptive father:
  Name of adoptive mother:
  Name of birthmother:
  Age of birthmom and DOB:
  Physical description of birthmom at time of   birth:
  Was birthmom a student, or working?
  Please give details:
  Did birthmom have siblings? If so, how   many? Give ages and genders:
  Provide information about birthmoms   parents:
  List any additional information you may have   about birthmom:
  Name of birthfather, if known:
  Age of birthfather and DOB, if known:
  Physical description of birthfather:
  Was birthfather a student, or working?   Please give details:
  Did birthfather have siblings? If so, how   many?   Give ages and genders:
  Provide information about birthfather's   parents:
  List any additional information you may have   about birthfather:
  General information about the adoption or   the person you're searching for:
  Your Mailing Address
  (This will NOT be posted online.):

  Your Phone Number:
  (This will NOT be posted online.)
  Alternate Phone Number:
  (This will NOT be posted online.)
  May we release your e-mail address to a   potential match?
  ISP email address (This MUST be included   so we can contact you.)
Please enter code exactly as you see it.
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