Jennifer's National Adoption Registry
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Adopted 1940 - 1949
Adopted 1950 - 1959
Adopted 1960 - 1969
Adopted 1970 - 1979
Adopted 1980 - 1990
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Ruth Taylor
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Who are you?
-Select a choice-
Adoptee
Birthmother
Birthfather
Birthsibling
Birthgrandparent
Adoptive Parent
Other Family Member
Name at Birth:
Name of Birthmother:
Name of Birthfather:
Date of Birth:
City of Birth:
State of Birth:
Assisting Agency or Attorney:
Hospital of Birth:
*Email Address:
Permission to show email on registry?
Yes
No
Other miscellaneous information you would like in your entry.
*Your Name:
*I give consent for the information I provided, with exception to my email address (in some cases) to be added to Jennifer's National Adoption Registry.
Yes
No
