Adoption STAR: Adoptive Parents

	Overview
	Open Adoption
	Adoption Support
	FAQ's
	Meet Waiting Adoptive Parents
	Request A Free Information Packet

Please fill out the form below to request an Adoption STAR registration information packet.

Thank you for your interest in Adoption STAR.

contact INFORMATION
First Name:
Last Name:
Date of Birth:		Age:
Address:
City:
State:	Zip:
Telephone Numbers:	H:	C:
Email Address:
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Who lives with you?
If we call, must we be discreet when we call? Yes No
Are you currently pregnant? Yes No > If yes, when is your expected due date?
What hospital will you be delivering at?
Baby's race and religion?:
Race:	Religion:
Would you like to arrange an appointment? Yes No > If yes, where would you like to meet?
How did you learn about Adoption STAR? Other:

You can also request a registration packet by calling us at 716-639-3900
Please contact the agency directly if you have additional questions or concerns relating to the qualifications of adoptive parents.

contact INFORMATION

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