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Register
for the Adoption Registry

Photo Registry Listing $50 for 6 months...this is a regular listing on our Christian Adoption Registry with your photo beside it and a FREE link to an existing site.

Web Page design and hosting $50 for 6 months...we design a page with your dear birth mother letter and up to 3 photos of your family. This page is hosted our our site and linked to your registry listing. Additional photos are $10 each. I have learned that birth moms really prefer to have a web page to see so consider this option.

You determine what gets listed for your family. 
You can have your e-mail, phone and/or web page link listed. 

Get a $2 a month TOLL FREE 800# for adoption.

Please fill out the following form to be included in the adoption registry.

Last Name:
Your last name will not be posted on your listing.

Husband's First Name:

Wife's First Name:

Your Email Address (you@aol.com):

Phone Number (with area code):

Street Address:

Street Address:

City/Town:

State:

Zip code:

Who referred you:

Which options do you want to purchase?

$50 Photo Registry for 6 months

$100 Photo Registry plus Web Page for 6 months

For web page option, please email us your dear birth mom letter in Word format plus email us up to 3 scanned photos on .jpg format.

CHECK ONLY the following items you want listed on your registry!

Box 1: First Names:

Box 2: Age & Gender of Child you want:
Age of Child
Either Boy or Girl Girl Boy
The families that pick EITHER BOY OR GIRL get the most contacts!

Box 3: Race of Child you want:
The families that pick ANY RACE get the most contacts.
Any Race Caucasian Hispanic African American
Asian Native American Biracial/Mixed Race
Other (please specify)

Box 4: Religious/Church Denomination:

Box 5: State you live in: Please spell out state name

Box 6: Number of children in your home currently:

Box 7: Marriage Length

OR Openness of Adoption: 
Open
Semi-open (pictures and letters only) Closed 
Open or closed

Box 8: Working or Stay Home Mom

Stay Home Mom Fulltime Working Mom
Stay Home Dad   Part-time Working Mom

Box 9: Home Study Ready

Yes  No  HS in process

OR Other

Box 10: Phone Number Listed
OR Other

Get a TOLL FREE 800# for this

Box 11: E-Mail Address listed:

Box 12: Web Page Address
Please select web page option if you do not have a web page. Birth moms have told me that viewing these web pages and letters really help them choose who to contact. Do not miss out by not having one. I can make one and host it for her here for $50 a month in addition to the registry listing.

OR Other Item

A short 3-5 sentence paragraph describing your family.

Other information or questions for Kay

For questions or feedback, contact: Kay Green
503-693-2832


Last modified: 11-03-06

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