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Date of birth
I am (Check one) Adult AdopteeBirthparentOther
If you are the adoptee, what are the names of your adoptive parents?
If you are the birth parent, what was the name you used when the child was placed for adoption?
Services Requested I would like all non-identifying information regarding my birth parent(s). This is descriptive documentation that can include the following: medical history, physical description, educational level, ethnicity, interests/hobbies, age, general type of employment, birth family description, and the nature of my birth parents' relationship.I would like Catholic Social Services to search for the whereabouts of my birth parent(s).