{"id":27283,"date":"2020-09-18T08:52:39","date_gmt":"2020-09-18T14:52:39","guid":{"rendered":"https:\/\/aactofloveadoptions.com\/?page_id=27283"},"modified":"2025-06-30T15:52:52","modified_gmt":"2025-06-30T21:52:52","slug":"birth-parent-online-application-packet","status":"publish","type":"page","link":"https:\/\/aactofloveadoptions.com\/birth-parent-online-application-packet\/","title":{"rendered":"Birth Parent Online Application Packet"},"content":{"rendered":"\n<h1>\n\t\t\tBirth Parent Application\t<\/h1>\n<h4>\n\t\t\tIf you&#8217;re considering placing a child for adoption, this is the first step.\t<\/h4>\n\t<p>Filling out this application lets us know you&#8217;re ready to start the adoption process. Your team is here to support you. Once you submit your application, a member of our team will reach out to you quickly, usually the same day. We&#8217;ll talk through your adoption plan and options.<\/p>\n<p><strong>Important! <\/strong>This application is for anyone seeking to place a child for adoption. If you aren&#8217;t sure that adoption is the right choice for you, please call us to discuss your options before completing this form.<\/p>\n                            \n                        <form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_4' id='gform_4'  action='https:\/\/aactofloveadoptions.com\/birth-parent-online-application-packet\/?fl_builder&#038;fl_builder_ui_iframe#gf_4' data-formid='4' novalidate>1Consent2Application\n\t\t\t\t\t<ul id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_140\"><label class='gfield_label gform-field-label gfield_label_before_complex'>We look forward to working with you. By clicking on this link, you will be filling out an application to move forward with the adoption process.*<\/label><ul class='gfield_checkbox' id='input_4_140'><li class='gchoice gchoice_4_140_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_140.1' type='checkbox'  value='Yes, I&#039;m looking to place for adoption'  id='choice_4_140_1' tabindex='100'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_140_1' id='label_4_140_1' class='gform-field-label gform-field-label--type-inline'>Yes, I&#8217;m looking to place for adoption<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><\/ul>\n                         <input type='button' id='gform_next_button_4_141' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='101' \/> \n                        <ul id='gform_fields_4_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_23\"><h2>Birth Mother Information<\/h2><\/li><li id=\"field_4_1\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Name*<\/label>\n                                                    <input type='text' name='input_1.3' id='input_4_1_3' value='' tabindex='103'  aria-required='true'   placeholder='First Name'  \/>\n                                                    <label for='input_4_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_1.4' id='input_4_1_4' value='' tabindex='104'  aria-required='false'   placeholder='Middle Name'  \/>\n                                                    <label for='input_4_1_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                    <input type='text' name='input_1.6' id='input_4_1_6' value='' tabindex='105'  aria-required='true'   placeholder='Last Name'  \/>\n                                                    <label for='input_4_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                        <\/li><li id=\"field_4_2\"><label class='gfield_label gform-field-label' for='input_4_2'>Social Security Number<\/label><input name='input_2' id='input_4_2' type='text' value='' class='medium'   tabindex='107' placeholder='Social Security Number'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_3\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Are you a US Citizen?<\/label><ul class='gfield_checkbox' id='input_4_3'><li class='gchoice gchoice_4_3_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_3.1' type='checkbox'  value='Yes'  id='choice_4_3_1' tabindex='108'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_3_1' id='label_4_3_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_3_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_3.2' type='checkbox'  value='No'  id='choice_4_3_2' tabindex='109'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_3_2' id='label_4_3_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_5\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Address<\/label>    \n                                        <input type='text' name='input_5.1' id='input_4_5_1' value='' tabindex='110'  placeholder='Address' aria-required='false'    \/>\n                                        <label for='input_4_5_1' id='input_4_5_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <input type='text' name='input_5.3' id='input_4_5_3' value='' tabindex='111'  placeholder='City' aria-required='false'    \/>\n                                    <label for='input_4_5_3' id='input_4_5_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                        <select name='input_5.4' id='input_4_5_4' tabindex='112'    aria-required='false'><option value='' selected='selected'>State<\/option><option value='Alabama'>Alabama<\/option><option value='Alaska'>Alaska<\/option><option value='American Samoa'>American Samoa<\/option><option value='Arizona'>Arizona<\/option><option value='Arkansas'>Arkansas<\/option><option value='California'>California<\/option><option value='Colorado'>Colorado<\/option><option value='Connecticut'>Connecticut<\/option><option value='Delaware'>Delaware<\/option><option value='District of Columbia'>District of Columbia<\/option><option value='Florida'>Florida<\/option><option value='Georgia'>Georgia<\/option><option value='Guam'>Guam<\/option><option value='Hawaii'>Hawaii<\/option><option value='Idaho'>Idaho<\/option><option value='Illinois'>Illinois<\/option><option value='Indiana'>Indiana<\/option><option value='Iowa'>Iowa<\/option><option value='Kansas'>Kansas<\/option><option value='Kentucky'>Kentucky<\/option><option value='Louisiana'>Louisiana<\/option><option value='Maine'>Maine<\/option><option value='Maryland'>Maryland<\/option><option value='Massachusetts'>Massachusetts<\/option><option value='Michigan'>Michigan<\/option><option value='Minnesota'>Minnesota<\/option><option value='Mississippi'>Mississippi<\/option><option value='Missouri'>Missouri<\/option><option value='Montana'>Montana<\/option><option value='Nebraska'>Nebraska<\/option><option value='Nevada'>Nevada<\/option><option value='New Hampshire'>New Hampshire<\/option><option value='New Jersey'>New Jersey<\/option><option value='New Mexico'>New Mexico<\/option><option value='New York'>New York<\/option><option value='North Carolina'>North Carolina<\/option><option value='North Dakota'>North Dakota<\/option><option value='Northern Mariana Islands'>Northern Mariana Islands<\/option><option value='Ohio'>Ohio<\/option><option value='Oklahoma'>Oklahoma<\/option><option value='Oregon'>Oregon<\/option><option value='Pennsylvania'>Pennsylvania<\/option><option value='Puerto Rico'>Puerto Rico<\/option><option value='Rhode Island'>Rhode Island<\/option><option value='South Carolina'>South Carolina<\/option><option value='South Dakota'>South Dakota<\/option><option value='Tennessee'>Tennessee<\/option><option value='Texas'>Texas<\/option><option value='Utah'>Utah<\/option><option value='U.S. Virgin Islands'>U.S. Virgin Islands<\/option><option value='Vermont'>Vermont<\/option><option value='Virginia'>Virginia<\/option><option value='Washington'>Washington<\/option><option value='West Virginia'>West Virginia<\/option><option value='Wisconsin'>Wisconsin<\/option><option value='Wyoming'>Wyoming<\/option><option value='Armed Forces Americas'>Armed Forces Americas<\/option><option value='Armed Forces Europe'>Armed Forces Europe<\/option><option value='Armed Forces Pacific'>Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_4_5_4' id='input_4_5_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                    <input type='text' name='input_5.5' id='input_4_5_5' value='' tabindex='114'  placeholder='Zip Code' aria-required='false'    \/>\n                                    <label for='input_4_5_5' id='input_4_5_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <input type='hidden' class='gform_hidden' name='input_5.6' id='input_4_5_6' value='United States' \/>\n                <\/li><li id=\"field_4_9\"><label class='gfield_label gform-field-label' for='input_4_9'>Email*<\/label>\n                            <input name='input_9' id='input_4_9' type='email' value='' class='medium' tabindex='115'  placeholder='Email Address' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/li><li id=\"field_4_6\"><label class='gfield_label gform-field-label' for='input_4_6'>Cellphone<\/label><input name='input_6' id='input_4_6' type='tel' value='' class='medium' tabindex='116' placeholder='Cellphone'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_8\"><label class='gfield_label gform-field-label' for='input_4_8'>Phone (Home)<\/label><input name='input_8' id='input_4_8' type='tel' value='' class='medium' tabindex='117' placeholder='Phone (Home)'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_7\"><label class='gfield_label gform-field-label' for='input_4_7'>Work<\/label><input name='input_7' id='input_4_7' type='tel' value='' class='medium' tabindex='118' placeholder='Phone Work'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_10\"><label class='gfield_label gform-field-label' for='input_4_10'>Birth<\/label>\n                            <input name='input_10' id='input_4_10' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon' tabindex='119'  placeholder='Birth' aria-describedby=\"input_4_10_date_format\" aria-invalid=\"false\" \/>\n                            MM slash DD slash YYYY\n                        <input type='hidden' id='gforms_calendar_icon_input_4_10' class='gform_hidden' value='https:\/\/aactofloveadoptions.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_11\"><label class='gfield_label gform-field-label' for='input_4_11'>Age<\/label><input name='input_11' id='input_4_11' type='text' value='' class='medium'   tabindex='120' placeholder='Age'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_12\"><label class='gfield_label gform-field-label' for='input_4_12'>Place of birth<\/label><input name='input_12' id='input_4_12' type='text' value='' class='medium'   tabindex='121' placeholder='Place of birth'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_13\"><label class='gfield_label gform-field-label' for='input_4_13'>Racial Background<\/label><input name='input_13' id='input_4_13' type='text' value='' class='medium'   tabindex='122' placeholder='Racial Background'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_14\"><label class='gfield_label gform-field-label gfield_label_before_complex'>What is the best way to contact you?<\/label><ul class='gfield_checkbox' id='input_4_14'><li class='gchoice gchoice_4_14_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.1' type='checkbox'  value='Text'  id='choice_4_14_1' tabindex='123'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_14_1' id='label_4_14_1' class='gform-field-label gform-field-label--type-inline'>Text<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_14_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.2' type='checkbox'  value='Email'  id='choice_4_14_2' tabindex='124'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_14_2' id='label_4_14_2' class='gform-field-label gform-field-label--type-inline'>Email<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_14_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.3' type='checkbox'  value='Phone'  id='choice_4_14_3' tabindex='125'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_14_3' id='label_4_14_3' class='gform-field-label gform-field-label--type-inline'>Phone<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_17\"><label class='gfield_label gform-field-label gfield_label_before_complex'>We may leave a message for you?<\/label><ul class='gfield_checkbox' id='input_4_17'><li class='gchoice gchoice_4_17_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.1' type='checkbox'  value='Yes'  id='choice_4_17_1' tabindex='126'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_17_1' id='label_4_17_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_17_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.2' type='checkbox'  value='No'  id='choice_4_17_2' tabindex='127'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_17_2' id='label_4_17_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_19\"><b>In an emergency, who can we contact?<\/b><\/li><li id=\"field_4_18\"><label class='gfield_label gform-field-label' for='input_4_18'>Name<\/label><input name='input_18' id='input_4_18' type='text' value='' class='medium'   tabindex='128' placeholder='Name'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_20\"><label class='gfield_label gform-field-label' for='input_4_20'>Relationship<\/label><input name='input_20' id='input_4_20' type='text' value='' class='medium'   tabindex='129' placeholder='Relationship'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_21\"><label class='gfield_label gform-field-label' for='input_4_21'>Phone<\/label><input name='input_21' id='input_4_21' type='tel' value='' class='medium' tabindex='130' placeholder='Phone'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_22\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Emergency Address<\/label>    \n                                        <input type='text' name='input_22.1' id='input_4_22_1' value='' tabindex='131'  placeholder='Address' aria-required='false'    \/>\n                                        <label for='input_4_22_1' id='input_4_22_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <input type='text' name='input_22.3' id='input_4_22_3' value='' tabindex='132'  placeholder='City' aria-required='false'    \/>\n                                    <label for='input_4_22_3' id='input_4_22_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                        <select name='input_22.4' id='input_4_22_4' tabindex='133'    aria-required='false'><option value='' selected='selected'>State<\/option><option value='Alabama'>Alabama<\/option><option value='Alaska'>Alaska<\/option><option value='American Samoa'>American Samoa<\/option><option value='Arizona'>Arizona<\/option><option value='Arkansas'>Arkansas<\/option><option value='California'>California<\/option><option value='Colorado'>Colorado<\/option><option value='Connecticut'>Connecticut<\/option><option value='Delaware'>Delaware<\/option><option value='District of Columbia'>District of Columbia<\/option><option value='Florida'>Florida<\/option><option value='Georgia'>Georgia<\/option><option value='Guam'>Guam<\/option><option value='Hawaii'>Hawaii<\/option><option value='Idaho'>Idaho<\/option><option value='Illinois'>Illinois<\/option><option value='Indiana'>Indiana<\/option><option value='Iowa'>Iowa<\/option><option value='Kansas'>Kansas<\/option><option value='Kentucky'>Kentucky<\/option><option value='Louisiana'>Louisiana<\/option><option value='Maine'>Maine<\/option><option value='Maryland'>Maryland<\/option><option value='Massachusetts'>Massachusetts<\/option><option value='Michigan'>Michigan<\/option><option value='Minnesota'>Minnesota<\/option><option value='Mississippi'>Mississippi<\/option><option value='Missouri'>Missouri<\/option><option value='Montana'>Montana<\/option><option value='Nebraska'>Nebraska<\/option><option value='Nevada'>Nevada<\/option><option value='New Hampshire'>New Hampshire<\/option><option value='New Jersey'>New Jersey<\/option><option value='New Mexico'>New Mexico<\/option><option value='New York'>New York<\/option><option value='North Carolina'>North Carolina<\/option><option value='North Dakota'>North Dakota<\/option><option value='Northern Mariana Islands'>Northern Mariana Islands<\/option><option value='Ohio'>Ohio<\/option><option value='Oklahoma'>Oklahoma<\/option><option value='Oregon'>Oregon<\/option><option value='Pennsylvania'>Pennsylvania<\/option><option value='Puerto Rico'>Puerto Rico<\/option><option value='Rhode Island'>Rhode Island<\/option><option value='South Carolina'>South Carolina<\/option><option value='South Dakota'>South Dakota<\/option><option value='Tennessee'>Tennessee<\/option><option value='Texas'>Texas<\/option><option value='Utah'>Utah<\/option><option value='U.S. Virgin Islands'>U.S. Virgin Islands<\/option><option value='Vermont'>Vermont<\/option><option value='Virginia'>Virginia<\/option><option value='Washington'>Washington<\/option><option value='West Virginia'>West Virginia<\/option><option value='Wisconsin'>Wisconsin<\/option><option value='Wyoming'>Wyoming<\/option><option value='Armed Forces Americas'>Armed Forces Americas<\/option><option value='Armed Forces Europe'>Armed Forces Europe<\/option><option value='Armed Forces Pacific'>Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_4_22_4' id='input_4_22_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                    <input type='text' name='input_22.5' id='input_4_22_5' value='' tabindex='135'  placeholder='Zip Code' aria-required='false'    \/>\n                                    <label for='input_4_22_5' id='input_4_22_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <input type='hidden' class='gform_hidden' name='input_22.6' id='input_4_22_6' value='United States' \/>\n                <\/li><li id=\"field_4_129\">\n<\/li><li id=\"field_4_24\"><h3>Personal Information<\/h3><\/li><li id=\"field_4_25\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Martial Status<\/label><ul class='gfield_checkbox' id='input_4_25'><li class='gchoice gchoice_4_25_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.1' type='checkbox'  value='Single (Never married)'  id='choice_4_25_1' tabindex='136'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_25_1' id='label_4_25_1' class='gform-field-label gform-field-label--type-inline'>Single (Never married)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_25_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.2' type='checkbox'  value='Single (Legals divorce)'  id='choice_4_25_2' tabindex='137'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_25_2' id='label_4_25_2' class='gform-field-label gform-field-label--type-inline'>Single (Legals divorce)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_25_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.3' type='checkbox'  value='Married'  id='choice_4_25_3' tabindex='138'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_25_3' id='label_4_25_3' class='gform-field-label gform-field-label--type-inline'>Married<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_25_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.4' type='checkbox'  value='Separate'  id='choice_4_25_4' tabindex='139'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_25_4' id='label_4_25_4' class='gform-field-label gform-field-label--type-inline'>Separate<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_27\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Are you married to the birth father?<\/label><ul class='gfield_checkbox' id='input_4_27'><li class='gchoice gchoice_4_27_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.1' type='checkbox'  value='Yes'  id='choice_4_27_1' tabindex='140'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_27_1' id='label_4_27_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_27_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.2' type='checkbox'  value='No'  id='choice_4_27_2' tabindex='141'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_27_2' id='label_4_27_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_28\"><label class='gfield_label gform-field-label' for='input_4_28'>If Married or Separate Name of the Spouse<\/label><input name='input_28' id='input_4_28' type='text' value='' class='medium'   tabindex='142' placeholder='If Married or Separate Name of the Spouse'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_26\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Are you a member of a Native American tribe or Alaskan Village?<\/label><ul class='gfield_checkbox' id='input_4_26'><li class='gchoice gchoice_4_26_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.1' type='checkbox'  value='Yes'  id='choice_4_26_1' tabindex='143'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_26_1' id='label_4_26_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_26_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.2' type='checkbox'  value='No'  id='choice_4_26_2' tabindex='144'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_26_2' id='label_4_26_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_29\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Are you Registered?<\/label><ul class='gfield_checkbox' id='input_4_29'><li class='gchoice gchoice_4_29_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.1' type='checkbox'  value='Yes'  id='choice_4_29_1' tabindex='145'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_29_1' id='label_4_29_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_29_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.2' type='checkbox'  value='No'  id='choice_4_29_2' tabindex='146'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_29_2' id='label_4_29_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_30\"><label class='gfield_label gform-field-label' for='input_4_30'>If yes, what tribe or village<\/label><input name='input_30' id='input_4_30' type='text' value='' class='medium'   tabindex='147' placeholder='If yes, what tribe or village'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_31\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Do you live on a reservation?<\/label><ul class='gfield_checkbox' id='input_4_31'><li class='gchoice gchoice_4_31_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.1' type='checkbox'  value='Yes'  id='choice_4_31_1' tabindex='148'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_31_1' id='label_4_31_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_31_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.2' type='checkbox'  value='No'  id='choice_4_31_2' tabindex='149'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_31_2' id='label_4_31_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_32\"><label class='gfield_label gform-field-label' for='input_4_32'>Enrollment number<\/label><input name='input_32' id='input_4_32' type='text' value='' class='medium'   tabindex='150' placeholder='Enrollment number'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_33\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Is birth father a US Citizen?<\/label><ul class='gfield_checkbox' id='input_4_33'><li class='gchoice gchoice_4_33_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.1' type='checkbox'  value='Yes'  id='choice_4_33_1' tabindex='151'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_33_1' id='label_4_33_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_33_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.2' type='checkbox'  value='No'  id='choice_4_33_2' tabindex='152'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_33_2' id='label_4_33_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_34\"><label class='gfield_label gform-field-label' for='input_4_34'>What is the birth father&#8217;s racial background?<\/label><input name='input_34' id='input_4_34' type='text' value='' class='medium'   tabindex='153' placeholder='Father Racial Background'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_35\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Will birth father be involved with the adoption plan?<\/label><ul class='gfield_checkbox' id='input_4_35'><li class='gchoice gchoice_4_35_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.1' type='checkbox'  value='Yes'  id='choice_4_35_1' tabindex='154'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_35_1' id='label_4_35_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_35_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.2' type='checkbox'  value='No'  id='choice_4_35_2' tabindex='155'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_35_2' id='label_4_35_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_35_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.3' type='checkbox'  value='Not sure'  id='choice_4_35_3' tabindex='156'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_35_3' id='label_4_35_3' class='gform-field-label gform-field-label--type-inline'>Not sure<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_36\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Is birth father aware of the pregnancy?<\/label><ul class='gfield_checkbox' id='input_4_36'><li class='gchoice gchoice_4_36_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.1' type='checkbox'  value='Yes'  id='choice_4_36_1' tabindex='157'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_36_1' id='label_4_36_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_36_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.2' type='checkbox'  value='No'  id='choice_4_36_2' tabindex='158'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_36_2' id='label_4_36_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_37\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Is birth father aware of your adoption plan?<\/label><ul class='gfield_checkbox' id='input_4_37'><li class='gchoice gchoice_4_37_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.1' type='checkbox'  value='Yes'  id='choice_4_37_1' tabindex='159'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_37_1' id='label_4_37_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_37_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.2' type='checkbox'  value='No'  id='choice_4_37_2' tabindex='160'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_37_2' id='label_4_37_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_137\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Is birth father willing to consent to an adoption?<\/label><ul class='gfield_checkbox' id='input_4_137'><li class='gchoice gchoice_4_137_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_137.1' type='checkbox'  value='Yes'  id='choice_4_137_1' tabindex='161'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_137_1' id='label_4_137_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_137_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_137.2' type='checkbox'  value='No'  id='choice_4_137_2' tabindex='162'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_137_2' id='label_4_137_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_137_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_137.3' type='checkbox'  value='Maybe'  id='choice_4_137_3' tabindex='163'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_137_3' id='label_4_137_3' class='gform-field-label gform-field-label--type-inline'>Maybe<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_40\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Is birth father a member of a Native American tribe or Alaskan Village?<\/label><ul class='gfield_checkbox' id='input_4_40'><li class='gchoice gchoice_4_40_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.1' type='checkbox'  value='Yes'  id='choice_4_40_1' tabindex='164'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_40_1' id='label_4_40_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_40_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.2' type='checkbox'  value='No'  id='choice_4_40_2' tabindex='165'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_40_2' id='label_4_40_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_38\"><label class='gfield_label gform-field-label' for='input_4_38'>Father Enrollment number<\/label><input name='input_38' id='input_4_38' type='text' value='' class='medium'   tabindex='166' placeholder='Enrollment number'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_41\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Does birth father live on a reservation?<\/label><ul class='gfield_checkbox' id='input_4_41'><li class='gchoice gchoice_4_41_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.1' type='checkbox'  value='Yes'  id='choice_4_41_1' tabindex='167'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_41_1' id='label_4_41_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_41_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.2' type='checkbox'  value='No'  id='choice_4_41_2' tabindex='168'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_41_2' id='label_4_41_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_39\"><label class='gfield_label gform-field-label' for='input_4_39'>If yes, what tribe or village?<\/label><input name='input_39' id='input_4_39' type='text' value='' class='medium'   tabindex='169' placeholder='If yes, what tribe or village?'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_44\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Is birth father in the armed forces?<\/label><ul class='gfield_checkbox' id='input_4_44'><li class='gchoice gchoice_4_44_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.1' type='checkbox'  value='Yes'  id='choice_4_44_1' tabindex='170'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_44_1' id='label_4_44_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_44_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.2' type='checkbox'  value='No'  id='choice_4_44_2' tabindex='171'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_44_2' id='label_4_44_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_43\"><label class='gfield_label gform-field-label' for='input_4_43'>If yes, what branch and dates of service?<\/label><input name='input_43' id='input_4_43' type='text' value='' class='medium'   tabindex='172' placeholder='If yes, what branch and dates of service?'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_130\">\n<\/li><li id=\"field_4_45\"><h3>Pregnancy Information<\/h3><\/li><li id=\"field_4_46\"><label class='gfield_label gform-field-label' for='input_4_46'>Estimated due date?<\/label>\n                            <input name='input_46' id='input_4_46' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon' tabindex='173'  placeholder='Estimated due date?' aria-describedby=\"input_4_46_date_format\" aria-invalid=\"false\" \/>\n                            MM slash DD slash YYYY\n                        <input type='hidden' id='gforms_calendar_icon_input_4_46' class='gform_hidden' value='https:\/\/aactofloveadoptions.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_47\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Sex of the baby<\/label><ul class='gfield_checkbox' id='input_4_47'><li class='gchoice gchoice_4_47_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.1' type='checkbox'  value='Female'  id='choice_4_47_1' tabindex='174'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_47_1' id='label_4_47_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_47_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.2' type='checkbox'  value='Male'  id='choice_4_47_2' tabindex='175'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_47_2' id='label_4_47_2' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_47_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.3' type='checkbox'  value='I don&#039;t know'  id='choice_4_47_3' tabindex='176'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_47_3' id='label_4_47_3' class='gform-field-label gform-field-label--type-inline'>I don&#8217;t know<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_48\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Have you started prenatal care?<\/label><ul class='gfield_checkbox' id='input_4_48'><li class='gchoice gchoice_4_48_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.1' type='checkbox'  value='Yes'  id='choice_4_48_1' tabindex='177'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_48_1' id='label_4_48_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_48_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.2' type='checkbox'  value='No'  id='choice_4_48_2' tabindex='178'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_48_2' id='label_4_48_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_50\"><label class='gfield_label gform-field-label' for='input_4_50'>Date started<\/label>\n                            <input name='input_50' id='input_4_50' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon' tabindex='179'  placeholder='Date started' aria-describedby=\"input_4_50_date_format\" aria-invalid=\"false\" \/>\n                            MM slash DD slash YYYY\n                        <input type='hidden' id='gforms_calendar_icon_input_4_50' class='gform_hidden' value='https:\/\/aactofloveadoptions.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_49\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Have you had an ultrasound?<\/label><ul class='gfield_checkbox' id='input_4_49'><li class='gchoice gchoice_4_49_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.1' type='checkbox'  value='Yes'  id='choice_4_49_1' tabindex='180'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_49_1' id='label_4_49_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_49_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.2' type='checkbox'  value='No'  id='choice_4_49_2' tabindex='181'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_49_2' id='label_4_49_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_53\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Do you have a proof of pregnancy?<\/label><ul class='gfield_checkbox' id='input_4_53'><li class='gchoice gchoice_4_53_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_53.1' type='checkbox'  value='Yes'  id='choice_4_53_1' tabindex='182'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_53_1' id='label_4_53_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_53_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_53.2' type='checkbox'  value='No'  id='choice_4_53_2' tabindex='183'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_53_2' id='label_4_53_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_52\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Do you have medical insurance?<\/label><ul class='gfield_checkbox' id='input_4_52'><li class='gchoice gchoice_4_52_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.1' type='checkbox'  value='Yes'  id='choice_4_52_1' tabindex='184'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_52_1' id='label_4_52_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_52_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.2' type='checkbox'  value='No'  id='choice_4_52_2' tabindex='185'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_52_2' id='label_4_52_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_54\"><label class='gfield_label gform-field-label' for='input_4_54'>If yes, what type of insurance?<\/label><input name='input_54' id='input_4_54' type='text' value='' class='medium'   tabindex='186' placeholder='If yes, what type of insurance?'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_55\"><label class='gfield_label gform-field-label' for='input_4_55'>Policy #<\/label><input name='input_55' id='input_4_55' type='text' value='' class='medium'   tabindex='187' placeholder='Policy #'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_56\"><label class='gfield_label gform-field-label' for='input_4_56'>Medicaid #<\/label><input name='input_56' id='input_4_56' type='text' value='' class='medium'   tabindex='188' placeholder='Medicaid #'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_58\"><label class='gfield_label gform-field-label' for='input_4_58'>Doctor&#8217;s Name<\/label><input name='input_58' id='input_4_58' type='text' value='' class='medium'   tabindex='189' placeholder='Doctor's Name'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_59\"><label class='gfield_label gform-field-label' for='input_4_59'>Doctor&#8217;s Phone<\/label><input name='input_59' id='input_4_59' type='text' value='' class='medium'   tabindex='190' placeholder='Doctor's Phone'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_131\"><\/li><li id=\"field_4_60\"><h3>Husband contact information (If Applicable)<\/h3><\/li><li id=\"field_4_61\"><label class='gfield_label gform-field-label' for='input_4_61'>Name<\/label><input name='input_61' id='input_4_61' type='text' value='' class='medium'   tabindex='191' placeholder='Father&#039;s name'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_62\"><label class='gfield_label gform-field-label' for='input_4_62'>Phone<\/label><input name='input_62' id='input_4_62' type='text' value='' class='medium'   tabindex='192' placeholder='Phone'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_64\"><label class='gfield_label gform-field-label gfield_label_before_complex'>US Citizen<\/label><ul class='gfield_checkbox' id='input_4_64'><li class='gchoice gchoice_4_64_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_64.1' type='checkbox'  value='Yes'  id='choice_4_64_1' tabindex='193'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_64_1' id='label_4_64_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_64_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_64.2' type='checkbox'  value='No'  id='choice_4_64_2' tabindex='194'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_64_2' id='label_4_64_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_63\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Is husband a member of a Native American tribe or Alaskan Village?<\/label><ul class='gfield_checkbox' id='input_4_63'><li class='gchoice gchoice_4_63_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_63.1' type='checkbox'  value='Yes'  id='choice_4_63_1' tabindex='195'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_63_1' id='label_4_63_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_63_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_63.2' type='checkbox'  value='No'  id='choice_4_63_2' tabindex='196'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_63_2' id='label_4_63_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_65\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Does husband live on a reservation?<\/label><ul class='gfield_checkbox' id='input_4_65'><li class='gchoice gchoice_4_65_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.1' type='checkbox'  value='Yes'  id='choice_4_65_1' tabindex='197'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_65_1' id='label_4_65_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_65_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.2' type='checkbox'  value='No'  id='choice_4_65_2' tabindex='198'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_65_2' id='label_4_65_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_66\"><label class='gfield_label gform-field-label' for='input_4_66'>If yes, what tribe or village?<\/label><input name='input_66' id='input_4_66' type='text' value='' class='medium'   tabindex='199' placeholder='If yes, what tribe or village?'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_67\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Is husband in the armed forces?<\/label><ul class='gfield_checkbox' id='input_4_67'><li class='gchoice gchoice_4_67_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.1' type='checkbox'  value='Yes'  id='choice_4_67_1' tabindex='200'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_67_1' id='label_4_67_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_67_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.2' type='checkbox'  value='No'  id='choice_4_67_2' tabindex='201'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_67_2' id='label_4_67_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_68\"><label class='gfield_label gform-field-label' for='input_4_68'>If yes, what branch and dates of service?<\/label><input name='input_68' id='input_4_68' type='text' value='' class='medium'   tabindex='202' placeholder='If yes, what branch and dates of service?'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_69\"><label class='gfield_label gform-field-label' for='input_4_69'>Father&#039;s Date of Birth<\/label>\n                            <input name='input_69' id='input_4_69' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon' tabindex='203'  placeholder='Date of Birth' aria-describedby=\"input_4_69_date_format\" aria-invalid=\"false\" \/>\n                            MM slash DD slash YYYY\n                        <input type='hidden' id='gforms_calendar_icon_input_4_69' class='gform_hidden' value='https:\/\/aactofloveadoptions.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_70\"><label class='gfield_label gform-field-label' for='input_4_70'>Fathers&#039; Age<\/label><input name='input_70' id='input_4_70' type='text' value='' class='medium'   tabindex='204' placeholder='Age'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_72\"><label class='gfield_label gform-field-label' for='input_4_72'>Place of Birth<\/label><input name='input_72' id='input_4_72' type='text' value='' class='medium'   tabindex='205' placeholder='Place of Birth'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_71\"><label class='gfield_label gform-field-label' for='input_4_71'>SS#<\/label><input name='input_71' id='input_4_71' type='text' value='' class='medium'   tabindex='206' placeholder='SS#'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_73\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Is he aware of the pregnancy?<\/label><ul class='gfield_checkbox' id='input_4_73'><li class='gchoice gchoice_4_73_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.1' type='checkbox'  value='Yes'  id='choice_4_73_1' tabindex='207'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_73_1' id='label_4_73_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_73_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.2' type='checkbox'  value='No'  id='choice_4_73_2' tabindex='208'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_73_2' id='label_4_73_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_138\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Is he aware of your adoption plan?<\/label><ul class='gfield_checkbox' id='input_4_138'><li class='gchoice gchoice_4_138_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_138.1' type='checkbox'  value='Yes'  id='choice_4_138_1' tabindex='209'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_138_1' id='label_4_138_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_138_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_138.2' type='checkbox'  value='No'  id='choice_4_138_2' tabindex='210'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_138_2' id='label_4_138_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_74\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Is he willing to consent to an adoption?<\/label><ul class='gfield_checkbox' id='input_4_74'><li class='gchoice gchoice_4_74_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.1' type='checkbox'  value='Yes'  id='choice_4_74_1' tabindex='211'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_74_1' id='label_4_74_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_74_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.2' type='checkbox'  value='No'  id='choice_4_74_2' tabindex='212'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_74_2' id='label_4_74_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_74_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.3' type='checkbox'  value='Maybe'  id='choice_4_74_3' tabindex='213'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_74_3' id='label_4_74_3' class='gform-field-label gform-field-label--type-inline'>Maybe<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_132\"><\/li><li id=\"field_4_75\"><h3>History of drug use<\/h3><\/li><li id=\"field_4_76\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Prescription medications during pregnancy<\/label><ul class='gfield_checkbox' id='input_4_76'><li class='gchoice gchoice_4_76_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.1' type='checkbox'  value='Yes'  id='choice_4_76_1' tabindex='214'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_76_1' id='label_4_76_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_76_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.2' type='checkbox'  value='No'  id='choice_4_76_2' tabindex='215'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_76_2' id='label_4_76_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_77\"><label class='gfield_label gform-field-label' for='input_4_77'>Describe:<\/label><input name='input_77' id='input_4_77' type='text' value='' class='medium'   tabindex='216' placeholder='Describe:'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_78\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Alcohol use during pregnancy<\/label><ul class='gfield_checkbox' id='input_4_78'><li class='gchoice gchoice_4_78_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.1' type='checkbox'  value='Yes'  id='choice_4_78_1' tabindex='217'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_78_1' id='label_4_78_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_78_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.2' type='checkbox'  value='No'  id='choice_4_78_2' tabindex='218'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_78_2' id='label_4_78_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_79\"><label class='gfield_label gform-field-label' for='input_4_79'>Describe:<\/label><input name='input_79' id='input_4_79' type='text' value='' class='medium'   tabindex='219' placeholder='Describe:'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_80\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Methamphetamines use during pregnancy<\/label><ul class='gfield_checkbox' id='input_4_80'><li class='gchoice gchoice_4_80_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_80.1' type='checkbox'  value='Yes'  id='choice_4_80_1' tabindex='220'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_80_1' id='label_4_80_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_80_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_80.2' type='checkbox'  value='No'  id='choice_4_80_2' tabindex='221'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_80_2' id='label_4_80_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_81\"><label class='gfield_label gform-field-label' for='input_4_81'>Describe:<\/label><input name='input_81' id='input_4_81' type='text' value='' class='medium'   tabindex='222' placeholder='Describe:'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_82\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Cocaine use during pregnancy<\/label><ul class='gfield_checkbox' id='input_4_82'><li class='gchoice gchoice_4_82_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_82.1' type='checkbox'  value='Yes'  id='choice_4_82_1' tabindex='223'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_82_1' id='label_4_82_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_82_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_82.2' type='checkbox'  value='No'  id='choice_4_82_2' tabindex='224'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_82_2' id='label_4_82_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_83\"><label class='gfield_label gform-field-label' for='input_4_83'>Describe:<\/label><input name='input_83' id='input_4_83' type='text' value='' class='medium'   tabindex='225' placeholder='Describe:'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_84\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Marijuana use during pregnancy<\/label><ul class='gfield_checkbox' id='input_4_84'><li class='gchoice gchoice_4_84_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_84.1' type='checkbox'  value='Yes'  id='choice_4_84_1' tabindex='226'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_84_1' id='label_4_84_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_84_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_84.2' type='checkbox'  value='No'  id='choice_4_84_2' tabindex='227'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_84_2' id='label_4_84_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_85\"><label class='gfield_label gform-field-label' for='input_4_85'>Describe:<\/label><input name='input_85' id='input_4_85' type='text' value='' class='medium'   tabindex='228' placeholder='Describe:'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_86\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Cigarettes use during pregnancy<\/label><ul class='gfield_checkbox' id='input_4_86'><li class='gchoice gchoice_4_86_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.1' type='checkbox'  value='Yes'  id='choice_4_86_1' tabindex='229'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_86_1' id='label_4_86_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_86_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.2' type='checkbox'  value='No'  id='choice_4_86_2' tabindex='230'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_86_2' id='label_4_86_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_88\"><label class='gfield_label gform-field-label' for='input_4_88'>Describe:<\/label><input name='input_88' id='input_4_88' type='text' value='' class='medium'   tabindex='231' placeholder='Describe:'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_89\"><label class='gfield_label gform-field-label' for='input_4_89'>Other<\/label><textarea name='input_89' id='input_4_89' class='textarea medium' tabindex='232'   placeholder='Other'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/li><li id=\"field_4_133\"><\/li><li id=\"field_4_90\"><h2>Adoptive Family Matching<\/h2><\/li><li id=\"field_4_91\"><label class='gfield_label gform-field-label gfield_label_before_complex'>I will choose my adoptive family<\/label><ul class='gfield_checkbox' id='input_4_91'><li class='gchoice gchoice_4_91_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_91.1' type='checkbox'  value='Yes'  id='choice_4_91_1' tabindex='233'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_91_1' id='label_4_91_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_91_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_91.2' type='checkbox'  value='No'  id='choice_4_91_2' tabindex='234'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_91_2' id='label_4_91_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_92\"><label class='gfield_label gform-field-label gfield_label_before_complex'>I want the agency to choose my adoptive family<\/label><ul class='gfield_checkbox' id='input_4_92'><li class='gchoice gchoice_4_92_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.1' type='checkbox'  value='Yes'  id='choice_4_92_1' tabindex='235'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_92_1' id='label_4_92_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_92_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.2' type='checkbox'  value='No'  id='choice_4_92_2' tabindex='236'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_92_2' id='label_4_92_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_93\">(I understand that my adoptive family preferences may change as I make my adoption plan.)<\/li><li id=\"field_4_94\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Type of adoptive family I would like to choose:<\/label><ul class='gfield_checkbox' id='input_4_94'><li class='gchoice gchoice_4_94_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.1' type='checkbox'  value='Married Couple'  id='choice_4_94_1' tabindex='237'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_94_1' id='label_4_94_1' class='gform-field-label gform-field-label--type-inline'>Married Couple<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_94_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.2' type='checkbox'  value='Single'  id='choice_4_94_2' tabindex='238'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_94_2' id='label_4_94_2' class='gform-field-label gform-field-label--type-inline'>Single<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_94_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.3' type='checkbox'  value='No preference'  id='choice_4_94_3' tabindex='239'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_94_3' id='label_4_94_3' class='gform-field-label gform-field-label--type-inline'>No preference<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_95\"><label class='gfield_label gform-field-label gfield_label_before_complex'>With or without children?<\/label><ul class='gfield_checkbox' id='input_4_95'><li class='gchoice gchoice_4_95_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_95.1' type='checkbox'  value='Couple with children'  id='choice_4_95_1' tabindex='240'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_95_1' id='label_4_95_1' class='gform-field-label gform-field-label--type-inline'>Couple with children<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_95_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_95.2' type='checkbox'  value='Couple with no children'  id='choice_4_95_2' tabindex='241'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_95_2' id='label_4_95_2' class='gform-field-label gform-field-label--type-inline'>Couple with no children<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_95_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_95.3' type='checkbox'  value='No preference'  id='choice_4_95_3' tabindex='242'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_95_3' id='label_4_95_3' class='gform-field-label gform-field-label--type-inline'>No preference<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_96\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Religious Preference:<\/label><ul class='gfield_checkbox' id='input_4_96'><li class='gchoice gchoice_4_96_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.1' type='checkbox'  value='Christian'  id='choice_4_96_1' tabindex='243'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_96_1' id='label_4_96_1' class='gform-field-label gform-field-label--type-inline'>Christian<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_96_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.2' type='checkbox'  value='Non-Christian'  id='choice_4_96_2' tabindex='244'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_96_2' id='label_4_96_2' class='gform-field-label gform-field-label--type-inline'>Non-Christian<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_96_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.3' type='checkbox'  value='No preference'  id='choice_4_96_3' tabindex='245'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_96_3' id='label_4_96_3' class='gform-field-label gform-field-label--type-inline'>No preference<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_97\"><label class='gfield_label gform-field-label' for='input_4_97'>Other\/Name:<\/label><input name='input_97' id='input_4_97' type='text' value='' class='medium'   tabindex='246' placeholder='Other\/Name:'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_98\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Preference of Race:<\/label><ul class='gfield_checkbox' id='input_4_98'><li class='gchoice gchoice_4_98_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_98.1' type='checkbox'  value='No preference'  id='choice_4_98_1' tabindex='247'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_98_1' id='label_4_98_1' class='gform-field-label gform-field-label--type-inline'>No preference<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_99\"><label class='gfield_label gform-field-label' for='input_4_99'>Other\/Name:<\/label><input name='input_99' id='input_4_99' type='text' value='' class='medium'   tabindex='248' placeholder='Other\/Name:'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_101\"><label class='gfield_label gform-field-label' for='input_4_101'>Describe Additional Preferences: (If any)<\/label><input name='input_101' id='input_4_101' type='text' value='' class='medium'   tabindex='249' placeholder='Describe Additional Preferences: (If any)'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_134\"><\/li><li id=\"field_4_102\"><h3>Post-adoption contact preferences<\/h3><\/li><li id=\"field_4_103\"><label class='gfield_label gform-field-label gfield_label_before_complex'>I am uncertain at this time. I choose to discuss post-adoption contact with an adoption counselor at another time.<\/label><ul class='gfield_checkbox' id='input_4_103'><li class='gchoice gchoice_4_103_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.1' type='checkbox'  value='Another time'  id='choice_4_103_1' tabindex='250'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_103_1' id='label_4_103_1' class='gform-field-label gform-field-label--type-inline'>Another time<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_105\"><label class='gfield_label gform-field-label gfield_label_before_complex'>I will select below &#8211; (I understand that this may change as I make my adoption plan.)<\/label><ul class='gfield_checkbox' id='input_4_105'><li class='gchoice gchoice_4_105_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_105.1' type='checkbox'  value='Pictures and letters through the agency'  id='choice_4_105_1' tabindex='251'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_105_1' id='label_4_105_1' class='gform-field-label gform-field-label--type-inline'>Pictures and letters through the agency<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_105_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_105.2' type='checkbox'  value='Pictures and letters by email'  id='choice_4_105_2' tabindex='252'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_105_2' id='label_4_105_2' class='gform-field-label gform-field-label--type-inline'>Pictures and letters by email<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_105_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_105.3' type='checkbox'  value='Periodic phone calls'  id='choice_4_105_3' tabindex='253'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_105_3' id='label_4_105_3' class='gform-field-label gform-field-label--type-inline'>Periodic phone calls<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_105_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_105.4' type='checkbox'  value='Visits with the adoptive family'  id='choice_4_105_4' tabindex='254'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_105_4' id='label_4_105_4' class='gform-field-label gform-field-label--type-inline'>Visits with the adoptive family<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_105_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_105.5' type='checkbox'  value='Visits before placement'  id='choice_4_105_5' tabindex='255'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_105_5' id='label_4_105_5' class='gform-field-label gform-field-label--type-inline'>Visits before placement<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_105_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_105.6' type='checkbox'  value='Visits at placement'  id='choice_4_105_6' tabindex='256'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_105_6' id='label_4_105_6' class='gform-field-label gform-field-label--type-inline'>Visits at placement<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_105_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_105.7' type='checkbox'  value='Visits after placement'  id='choice_4_105_7' tabindex='257'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_105_7' id='label_4_105_7' class='gform-field-label gform-field-label--type-inline'>Visits after placement<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_105_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_105.8' type='checkbox'  value='No Contact'  id='choice_4_105_8' tabindex='258'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_105_8' id='label_4_105_8' class='gform-field-label gform-field-label--type-inline'>No Contact<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_106\">I give Global Child Adoption Agency\/Alternative Options my consent to:<\/li><li id=\"field_4_107\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Exchange non-identifying information with prospective adoptive parents needed in the adoption process<\/label><ul class='gfield_checkbox' id='input_4_107'><li class='gchoice gchoice_4_107_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_107.1' type='checkbox'  value='Yes'  id='choice_4_107_1' tabindex='259'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_107_1' id='label_4_107_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_107_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_107.2' type='checkbox'  value='No'  id='choice_4_107_2' tabindex='260'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_107_2' id='label_4_107_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_108\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Contact me to meet in person with the prospective adoptive parents during the selection process for the adoption<\/label><ul class='gfield_checkbox' id='input_4_108'><li class='gchoice gchoice_4_108_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_108.1' type='checkbox'  value='Yes'  id='choice_4_108_1' tabindex='261'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_108_1' id='label_4_108_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_108_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_108.2' type='checkbox'  value='No'  id='choice_4_108_2' tabindex='262'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_108_2' id='label_4_108_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_109\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Contact me following the placement and legal adoption<\/label><ul class='gfield_checkbox' id='input_4_109'><li class='gchoice gchoice_4_109_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_109.1' type='checkbox'  value='Yes'  id='choice_4_109_1' tabindex='263'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_109_1' id='label_4_109_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_109_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_109.2' type='checkbox'  value='No'  id='choice_4_109_2' tabindex='264'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_109_2' id='label_4_109_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_110\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Send me information about prospective adoption parents<\/label><ul class='gfield_checkbox' id='input_4_110'><li class='gchoice gchoice_4_110_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.1' type='checkbox'  value='Yes'  id='choice_4_110_1' tabindex='265'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_110_1' id='label_4_110_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_110_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.2' type='checkbox'  value='No'  id='choice_4_110_2' tabindex='266'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_110_2' id='label_4_110_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_111\"><label class='gfield_label gform-field-label gfield_label_before_complex'>An open adoption with prospective adoptive parents<\/label><ul class='gfield_checkbox' id='input_4_111'><li class='gchoice gchoice_4_111_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.1' type='checkbox'  value='Yes'  id='choice_4_111_1' tabindex='267'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_111_1' id='label_4_111_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_111_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_111.2' type='checkbox'  value='No'  id='choice_4_111_2' tabindex='268'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_111_2' id='label_4_111_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_112\"><label class='gfield_label gform-field-label gfield_label_before_complex'>A closed adoption with prospective adoption parents<\/label><ul class='gfield_checkbox' id='input_4_112'><li class='gchoice gchoice_4_112_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_112.1' type='checkbox'  value='Yes'  id='choice_4_112_1' tabindex='269'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_112_1' id='label_4_112_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_112_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_112.2' type='checkbox'  value='No'  id='choice_4_112_2' tabindex='270'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_112_2' id='label_4_112_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_113\"><label class='gfield_label gform-field-label gfield_label_before_complex'>How did you learn about our agency?<\/label><ul class='gfield_checkbox' id='input_4_113'><li class='gchoice gchoice_4_113_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_113.1' type='checkbox'  value='Google\/Facebook'  id='choice_4_113_1' tabindex='271'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_113_1' id='label_4_113_1' class='gform-field-label gform-field-label--type-inline'>Google\/Facebook<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_113_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_113.2' type='checkbox'  value='Phone\/Book'  id='choice_4_113_2' tabindex='272'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_113_2' id='label_4_113_2' class='gform-field-label gform-field-label--type-inline'>Phone\/Book<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_114\"><label class='gfield_label gform-field-label' for='input_4_114'>Website (Please specify)<\/label><input name='input_114' id='input_4_114' type='text' value='' class='medium'   tabindex='273' placeholder='Website (Please specify)'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_115\"><label class='gfield_label gform-field-label' for='input_4_115'>Other<\/label><input name='input_115' id='input_4_115' type='text' value='' class='medium'   tabindex='274' placeholder='Other'  aria-invalid=\"false\"   \/><\/li><li id=\"field_4_136\"><\/li><li id=\"field_4_119\"><label class='gfield_label gform-field-label gfield_label_before_complex'>Use this signature for the other documents<\/label><ul class='gfield_checkbox' id='input_4_119'><li class='gchoice gchoice_4_119_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_119.1' type='checkbox'  value='Yes'  id='choice_4_119_1' tabindex='275'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_119_1' id='label_4_119_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/li><li id=\"field_4_51\"><label class='gfield_label gform-field-label' for='input_4_51'>Birth Mother Signature*<\/label><input type='hidden' class='gform_hidden' name='input_4_51_valid' id='input_4_51_valid' \/><canvas id='input_4_51' width='300' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#ebebeb; cursor: url(https:\/\/aactofloveadoptions.com\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><img id = 'input_4_51_resetbutton' src='data:image\/png;base64,iVBORw0KGgoAAAANSUhEUgAAABgAAAAYCAYAAADgdz34AAAAGXRFWHRTb2Z0d2FyZQBBZG9iZSBJbWFnZVJlYWR5ccllPAAAAtRJREFUeNrsld9rklEYx32nc7i2GulGtZg6XJbJyBeJzbGZJJVuAyFD7D8QumiG7nLXQuw6dtHN7oYwFtIgDG+2CGQtGf1grBpWIkPHaDpJZvZ95F2cqfPHRTfRgY\/H85znfb7nPc85z8sVi0XR32zcf4GmBTiOk8GWY8YSdEpwHpwG7eAA\/ABJsA3\/w5MEJOUGi8VyCUFFeCiGvlcsFvOFQqGtzK1d4Bzmr8DvDfy\/NyTgcDj6I5GIGA91YdiN4CW7RqNp83g8fZ2dna17e3v5ubm5r1tbWz8F8WH4v4PIh7oCTOumH4VCIQkGg6axsTElgkRhyoJTXq\/33srKStzpdL5KpVK0RVcxvw+Rb40KlNr09LTSbDZH8HcJ\/DqyY2sksE9Go1GHVqsN5fP5Yk9Pz3WIJNmctNQT8Pl8n\/DQZza40CjIokqlerywsMCTYWdnpwVjTb0kF1dXVy2sLR6Pn4HIJnu6mLZht9s3KUeUE7VarYPt459ZOqZlKMFEFRRVfI+QzMzMeBHOOTAw4GbnKt4AK6Vte0\/nHA6pBu\/T4ejoqAgnS4dTlT82U74aJOourYTn+ds1VlyNm+AReMjaK5LsdrvpxoqSyWSX8DbVSwDHtYJ+hi9gETxl\/SoCWK1WGfWJRKLQ0dGhO0kAq5MGAoFB\/OVZXC6XtqYAzvamwWCgMiDK5XKXsSL5CRpZv98vnp+fH2SNJpPpYk0BlIIXSJaB\/lOZkEqlNyCi4ahAHd8iajGUj41a2a+2xzmj0fgsFAoN0QA3lAJfAxMISDeVpx7jSbJnMplSOZ6amuptVIBaZHx8\/G0sFruj1+tlgo2KWh\/oF3opGWl+bW3t1uzsrHJ5eXm42Q+OGW\/wADc7gYe3w+Fwen19\/YByhMMgt9lsqpGRkQvYxifwfQnup9PprFwuX2rmi0ZvYAdDwurPgl1A9ek1eE7byqYR7P873+TfAgwATQiKdubVli0AAAAASUVORK5CYII=' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/><input type='hidden' id='input_4_51_data' name='input_4_51_data' value=''\/><\/li><li id=\"field_4_117\"><label class='gfield_label gform-field-label' for='input_4_117'>Date<\/label>\n                            <input name='input_117' id='input_4_117' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon' tabindex='276'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_117_date_format\" aria-invalid=\"false\" \/>\n                            MM slash DD slash YYYY\n                        <input type='hidden' id='gforms_calendar_icon_input_4_117' class='gform_hidden' value='https:\/\/aactofloveadoptions.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_116\"><label class='gfield_label gform-field-label' for='input_4_116'>Birth Father Signature if applicable<\/label><input type='hidden' class='gform_hidden' name='input_4_116_valid' id='input_4_116_valid' \/><canvas id='input_4_116' width='300' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/aactofloveadoptions.com\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><img id = 'input_4_116_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/><input type='hidden' id='input_4_116_data' name='input_4_116_data' value=''\/><\/li><li id=\"field_4_118\"><label class='gfield_label gform-field-label' for='input_4_118'>Date<\/label>\n                            <input name='input_118' id='input_4_118' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon' tabindex='277'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_4_118_date_format\" aria-invalid=\"false\" \/>\n                            MM slash DD slash YYYY\n                        <input type='hidden' id='gforms_calendar_icon_input_4_118' class='gform_hidden' value='https:\/\/aactofloveadoptions.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_126\"><\/li><li id=\"field_4_121\">\n<center><\/center><\/li><li id=\"field_4_120\"><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex'>I am interested in placing my child, born\/expected to be born on with Global Child Adoption Agency\/Alternative Options (&#8220;Global Child Adoption Agency&#8221;) for the purpose of adoption.\nI understand Global Child Adoption Agency has agreed to provide services to me related to my adoption plan. I have filled out Global Child Adoption Agency&#8217;s Birth Parent Application to the best of my knowledge, and Global Child Adoption Agency has explained in full the services which can be provided to me. I understand that services are provided on a case-by-case basis, but that I will have access to all services Global Child Adoption Agency could provide to me.\nI agree to cooperate with Global Child Adoption Agency in the performance of services that will be provided related to my adoption plan.\nI agree to be forthright and honest with Global Child Adoption Agency, to answer all questions accurately and honestly, and to disclose to Global Child Adoption Agency anything that may affect any prospective adoptive placement or the security and\/or development of the child that I may be required to disclose under Utah law or under the laws of the state where I will be placing my child. I also agree to update the information contained in the Birth Parent Application as changes occur.\nGlobal Child Adoption Agency has not promised me money or anything of value in exchange for placing my child for adoption.\nI acknowledge thAt Global Child Adoption Agency is bound by legal and professional obligations in the performance of professional services to me. As such, it is possible Global Child Adoption Agency could fail or refuse to continue to provide services if, in Global Child Adoption Agency&#8217;s sole opinion and discretion, it believes it should discontinue services.\nI understand that certain employees, agents, consultants, or independent contractors of Global Child Adoption Agency may provide adoption services to both me and the adoptive parents with whom I become matched. I expressly consent to have such employees, agents, consultants, or independent contractors of Global Child Adoption Agency provide adoption services to both me and the adoptive parents with whom I become matched.\nI understand Global Child Adoption Agency cannot guarantee that all information I provide to Global Child Adoption Agency will remain confidential, particularly if I choose to have some openness in my adoption. I understand thAt Global Child Adoption Agency will use reasonable care to maintain the confidentiality of my information, consistent with the level of openness I choose, but I acknowledge there are circumstances and individuals outside the control of Global Child Adoption Agency that may impact the ability of Global Child Adoption Agency to maintain the level of confidentiality I choose.\nI understand and agree that neither Global Child Adoption Agency nor its officers, directors, agents, or employees may be held liable in any way for any occurrence in connection with the provision of any services to me by Global Child Adoption Agency, which may result in injury, death, or other damages to me or my family, heirs, or assigns, including damage to my personal property.\nI release and hold harmless Global Child Adoption Agency from all claims, losses, liability, actions, causes of action, damages, or injuries, no matter how characterized, related to, or arising from my actions or omissions or those of any prospective adoption parents; related to or arising from services provided by Global Child Adoption Agency, whether or not contemplated at the present time, including, but not limited to, any breach or apparent breach of confidentiality; related to or arising from Global Child Adoption Agency&#8217;s discontinuance of services; or related to or arising from any decision made by Global Child Adoption Agency with respect to me or my child.\nI understand thAt Global Child Adoption Agency will place children with adoptive families of any religion, but that if a child has already achieved some identification with a particular religion or if I desire that my child be placed with a family of a particular religion, Global Child Adoption Agency will honor that identification or desire to the extent possible. I understand thAt Global Child Adoption Agency will do what it can to match\nmy religious preference, but that if my religious preference cannot be met, I understand Global Child Adoption Agency will be free to select a family of an appropriate religious background unless otherwise specified.\nI understand thAt Global Child Adoption Agency does not discriminate based on marital status, but Global Child Adoption Agency follows Utah law.\nI understand thAt Global Child Adoption Agency places children with single adoptive applicants, but that Utah law prohibits Global Child Adoption Agency from placing children with a single adoptive applicant who is cohabitating with another person.\nI understand thAt Global Child Adoption Agency will assist me with an adoption plan of my choice.\nI understand thAt Global Child Adoption Agency offers all levels of open and closed adoptions, but AOL cannot guarantee confidentiality of information when an open adoption is chosen.\nI understand Global Child Adoption Agency offers counseling for me, regardless of whether I choose adoption.\nI understand thAt Global Child Adoption Agency offers resource information for medical services.\nI understand that housing arrangements, transportation, medical expenses, and living expenses are available on a case-by-case basis.\nI understand that living expenses may include, but may not be limited to one or more of the following: housing, food, utilities, medicines, or clothing, if needed. All expenses are determined on a case-by-case basis and may be limited further by the laws of the state where the adoptive family resides where the child will be placed. Any housing provided will be on an at-will basis, meaning Global Child Adoption Agency may terminate the housing arrangement at-will and without cause, and upon five (5) calendar day notice.\nI understand that if a problem should arise that I am unable to resolve with a Global Child Adoption Agency staff member, a written grievance should be submitted to the Global Child Adoption Agency Governing Board as soon as possible, but in no event later than 30 days after the problem arises.\nI further state that I am legally competent to sign this affirmation and release; that I understand the terms herein; and that I have signed this document as my own free act.\nUtah law requires that we inform you of the following\n consumer rights that you have:\nYou have a right to privacy of information and privacy for current and closed records. Global Child Adoption Agency shall take reasonable precautions to ensure the privacy of your confidential information as required by Utah law, unless you expressly agree to Global Child Adoption Agency&#8217;s disclosure of such information to a third party. This assurance of privacy also applies to both current and closed records.\nYou have the right to obtain the reasons for involuntary termination of services and the criteria for re-admission to the program. If Global Child Adoption Agency terminates its agreement to provide services to you and you notify Global Child Adoption Agency within a reasonable time period that services were discontinued against your will, within 20 business days of when Global Child Adoption Agency receives such notification you are entitled to a written explanation of the reasons for involuntary termination of services as well as notice of the criteria for re-admission to the program if re-admission is deemed feasible.\nYou have the right to freedom from potential harm or acts of violence to you or others.\nYou have the right to be free from unlawful discrimination.\nYou have the right to be treated with dignity.\nYou have the right to communicate by telephone or in writing with your family, attorney, physician, clergyman, and counselor or case manager, except when contraindicated by a licensed clinical professional.\nYou have the right to send and receive mail providing that security and general health and safety requirements are met.\nYou have the responsibility to be honest and forthright in your dealings with the agents, employees, and other clients of Global Child Adoption Agency.\nYou have the responsibility to never act in a way that would jeopardize or compromise the safety of any person or property while receiving services from Global Child Adoption Agency.\nSmoking is not allowed on any property owned, leased, or managed by Global Child Adoption Agency.\nService fees and costs are usually born by the adoptive families. Birth parents usually do not pay any fees, but we will advise you if your situation presents different circumstances and present you with a schedule of fees and costs.\nGrievance and complaint procedures. If you believe that an agent or representative of Global Child Adoption Agency has violated your consumer rights, you may send a written complaint to: Global Child Adoption Agency, Consumer Rights Complaint, 9561 South 700 East, Suite 101, Sandy, Utah 84070. Global Child Adoption Agency will initially attempt to resolve the matter formally with you. Global Child Adoption Agency may make such informal efforts for up to 60 days. If Global Child Adoption Agency is not able to informally resolve the complaint, you will receive a written response within twenty business days after Global Child Adoption Agency has ended its efforts to resolve the matter informally.\nI\/we, certify to the best of my knowledge that I\/we have read the foregoing, I\/we understand it, and I\/we am\/are signing this*<\/label><input name='input_120.1' id='input_4_120_1' type='checkbox' value='1' tabindex='278' aria-describedby=\"gfield_consent_description_4_120\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label for='input_4_120_1'><b>I agreed with birth parent service agreement<\/b><\/label><input type='hidden' name='input_120.2' value='&lt;b&gt;I agreed with birth parent service agreement&lt;\/b&gt;' class='gform_hidden' \/><input type='hidden' name='input_120.3' value='4' class='gform_hidden' \/>I am interested in placing my child, born\/expected to be born on with Global Child Adoption Agency\/Alternative Options (&#8220;Global Child Adoption Agency&#8221;) for the purpose of adoption.<br \/>\n<br \/>\nI understand Global Child Adoption Agency has agreed to provide services to me related to my adoption plan. I have filled out Global Child Adoption Agency&#8217;s Birth Parent Application to the best of my knowledge, and Global Child Adoption Agency has explained in full the services which can be provided to me. I understand that services are provided on a case-by-case basis, but that I will have access to all services Global Child Adoption Agency could provide to me.<br \/>\n<br \/>\nI agree to cooperate with Global Child Adoption Agency in the performance of services that will be provided related to my adoption plan.<br \/>\n<br \/>\nI agree to be forthright and honest with Global Child Adoption Agency, to answer all questions accurately and honestly, and to disclose to Global Child Adoption Agency anything that may affect any prospective adoptive placement or the security and\/or development of the child that I may be required to disclose under Utah law or under the laws of the state where I will be placing my child. I also agree to update the information contained in the Birth Parent Application as changes occur.<br \/>\n<br \/>\nGlobal Child Adoption Agency has not promised me money or anything of value in exchange for placing my child for adoption.<br \/>\nI acknowledge thAt Global Child Adoption Agency is bound by legal and professional obligations in the performance of professional services to me. As such, it is possible Global Child Adoption Agency could fail or refuse to continue to provide services if, in Global Child Adoption Agency&#8217;s sole opinion and discretion, it believes it should discontinue services.<br \/>\n<br \/>\nI understand that certain employees, agents, consultants, or independent contractors of Global Child Adoption Agency may provide adoption services to both me and the adoptive parents with whom I become matched. I expressly consent to have such employees, agents, consultants, or independent contractors of Global Child Adoption Agency provide adoption services to both me and the adoptive parents with whom I become matched.<br \/>\n<br \/>\nI understand Global Child Adoption Agency cannot guarantee that all information I provide to Global Child Adoption Agency will remain confidential, particularly if I choose to have some openness in my adoption. I understand thAt Global Child Adoption Agency will use reasonable care to maintain the confidentiality of my information, consistent with the level of openness I choose, but I acknowledge there are circumstances and individuals outside the control of Global Child Adoption Agency that may impact the ability of Global Child Adoption Agency to maintain the level of confidentiality I choose.<br \/>\n<br \/>\nI understand and agree that neither Global Child Adoption Agency nor its officers, directors, agents, or employees may be held liable in any way for any occurrence in connection with the provision of any services to me by Global Child Adoption Agency, which may result in injury, death, or other damages to me or my family, heirs, or assigns, including damage to my personal property.<br \/>\n<br \/>\nI release and hold harmless Global Child Adoption Agency from all claims, losses, liability, actions, causes of action, damages, or injuries, no matter how characterized, related to, or arising from my actions or omissions or those of any prospective adoption parents; related to or arising from services provided by Global Child Adoption Agency, whether or not contemplated at the present time, including, but not limited to, any breach or apparent breach of confidentiality; related to or arising from Global Child Adoption Agency&#8217;s discontinuance of services; or related to or arising from any decision made by Global Child Adoption Agency with respect to me or my child.<br \/>\n<br \/>\nI understand thAt Global Child Adoption Agency will place children with adoptive families of any religion, but that if a child has already achieved some identification with a particular religion or if I desire that my child be placed with a family of a particular religion, Global Child Adoption Agency will honor that identification or desire to the extent possible. I understand thAt Global Child Adoption Agency will do what it can to match<br \/>\nmy religious preference, but that if my religious preference cannot be met, I understand Global Child Adoption Agency will be free to select a family of an appropriate religious background unless otherwise specified.<br \/>\n<br \/>\nI understand thAt Global Child Adoption Agency does not discriminate based on marital status, but Global Child Adoption Agency follows Utah law.<br \/>\nI understand thAt Global Child Adoption Agency places children with single adoptive applicants, but that Utah law prohibits Global Child Adoption Agency from placing children with a single adoptive applicant who is cohabitating with another person.<br \/>\n<br \/>\nI understand thAt Global Child Adoption Agency will assist me with an adoption plan of my choice.<br \/>\nI understand thAt Global Child Adoption Agency offers all levels of open and closed adoptions, but AOL cannot guarantee confidentiality of information when an open adoption is chosen.<br \/>\nI understand Global Child Adoption Agency offers counseling for me, regardless of whether I choose adoption.<br \/>\nI understand thAt Global Child Adoption Agency offers resource information for medical services.<br \/>\nI understand that housing arrangements, transportation, medical expenses, and living expenses are available on a case-by-case basis.<br \/>\n<br \/>\nI understand that living expenses may include, but may not be limited to one or more of the following: housing, food, utilities, medicines, or clothing, if needed. All expenses are determined on a case-by-case basis and may be limited further by the laws of the state where the adoptive family resides where the child will be placed. Any housing provided will be on an at-will basis, meaning Global Child Adoption Agency may terminate the housing arrangement at-will and without cause, and upon five (5) calendar day notice.<br \/>\n<br \/>\nI understand that if a problem should arise that I am unable to resolve with a Global Child Adoption Agency staff member, a written grievance should be submitted to the Global Child Adoption Agency Governing Board as soon as possible, but in no event later than 30 days after the problem arises.<br \/>\n<br \/>\nI further state that I am legally competent to sign this affirmation and release; that I understand the terms herein; and that I have signed this document as my own free act.<br \/>\n<br \/>\n<b>Utah law requires that we inform you of the following<\/b><br \/>\n consumer rights that you have:<br \/>\nYou have a right to privacy of information and privacy for current and closed records. Global Child Adoption Agency shall take reasonable precautions to ensure the privacy of your confidential information as required by Utah law, unless you expressly agree to Global Child Adoption Agency&#8217;s disclosure of such information to a third party. This assurance of privacy also applies to both current and closed records.<br \/>\n<br \/>\nYou have the right to obtain the reasons for involuntary termination of services and the criteria for re-admission to the program. If Global Child Adoption Agency terminates its agreement to provide services to you and you notify Global Child Adoption Agency within a reasonable time period that services were discontinued against your will, within 20 business days of when Global Child Adoption Agency receives such notification you are entitled to a written explanation of the reasons for involuntary termination of services as well as notice of the criteria for re-admission to the program if re-admission is deemed feasible.<br \/>\n<br \/>\nYou have the right to freedom from potential harm or acts of violence to you or others.<br \/>\nYou have the right to be free from unlawful discrimination.<br \/>\nYou have the right to be treated with dignity.<br \/>\nYou have the right to communicate by telephone or in writing with your family, attorney, physician, clergyman, and counselor or case manager, except when contraindicated by a licensed clinical professional.<br \/>\nYou have the right to send and receive mail providing that security and general health and safety requirements are met.<br \/>\n<br \/>\nYou have the responsibility to be honest and forthright in your dealings with the agents, employees, and other clients of Global Child Adoption Agency.<br \/>\nYou have the responsibility to never act in a way that would jeopardize or compromise the safety of any person or property while receiving services from Global Child Adoption Agency.<br \/>\nSmoking is not allowed on any property owned, leased, or managed by Global Child Adoption Agency.<br \/>\n<br \/>\nService fees and costs are usually born by the adoptive families. Birth parents usually do not pay any fees, but we will advise you if your situation presents different circumstances and present you with a schedule of fees and costs.<br \/>\n<br \/>\nGrievance and complaint procedures. If you believe that an agent or representative of Global Child Adoption Agency has violated your consumer rights, you may send a written complaint to: Global Child Adoption Agency, Consumer Rights Complaint, 9561 South 700 East, Suite 101, Sandy, Utah 84070. Global Child Adoption Agency will initially attempt to resolve the matter formally with you. Global Child Adoption Agency may make such informal efforts for up to 60 days. If Global Child Adoption Agency is not able to informally resolve the complaint, you will receive a written response within twenty business days after Global Child Adoption Agency has ended its efforts to resolve the matter informally.<br \/>\n<br \/>\nI\/we, certify to the best of my knowledge that I\/we have read the foregoing, I\/we understand it, and I\/we am\/are signing this<\/li><li id=\"field_4_127\"><\/li><li id=\"field_4_123\">\n<center><\/center><\/li><li id=\"field_4_122\"><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex'>Please release to Global Child Adoption Agency\/Alternative Options and Services for Children (&#8220;Global Child Adoption Agency&#8221;), or any employee or agent of Global Child Adoption Agency, 9561 South 700 East, Suite 101, Sandy, Utah, 84070, copies of all my medical records, including, but not limited to charts, notes, evaluations, test results, invoices and similar documents that you have in your possession as are described below. These records are needed by Global Child Adoption Agency in connection with an adoption of my child. I hereby release and absolve you from any and all liability for providing such information to Global Child Adoption Agency.\nI understand that this information may include, when applicable, information relating to sexually transmitted disease, Human Immunodeficiency Virus (HIV infection, Acquired Immune Deficiency Syndrome or AIDS Related Complex) and any other communicable disease. It may also include information about behavioral or mental health services, and referral or treatment for substance use disorder (as permitted by 42 CFR Part 2).\nThis disclosure and use is for the following purpose: Adoption matter.\nThis information may be disclosed to and used by the following categories of persons or organizations.\nAttorney(s) for adoptive parent(s) Adoptive parent(s)\nAgency for adoptive parent(s) Court in connection with adoption, as necessary\nInterstate Compact on the Placement of Children, as necessary\nI understand that I have a right to revoke this authorization at any time. I understand that if I revoke this authorization I must do so in writing and present my written revocation to youment. I understand that the revocation will not apply to my insurance company when the law provides my insurer with the right to contest a claim under my policy. Unless otherwise revoked, this authorization will expire one year from the signature date.\nI understand that authorizing the disclosure of this health information is voluntary. I also understand that I may refuse to sign this authorization and that my refusal to sign will not affect my ability to obtain treatment, payment for services, or eligibility for benefits.\nBy signing this Authorization, I understand that any disclosure of information carries with it the potential for an unauthorized redisclosure and the information may not be protected by federal privacy rules. I further understand I have the right to receive a copy of this signed authorization. I understand and agree that a photo-copy*<\/label><input name='input_122.1' id='input_4_122_1' type='checkbox' value='1' tabindex='279' aria-describedby=\"gfield_consent_description_4_122\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label for='input_4_122_1'><b>I Authorize to receive and disclose protected health information<\/b><\/label><input type='hidden' name='input_122.2' value='&lt;b&gt;I Authorize to receive and disclose protected health information&lt;\/b&gt;' class='gform_hidden' \/><input type='hidden' name='input_122.3' value='4' class='gform_hidden' \/>Please release to Global Child Adoption Agency\/Alternative Options and Services for Children (&#8220;Global Child Adoption Agency&#8221;), or any employee or agent of Global Child Adoption Agency, 9561 South 700 East, Suite 101, Sandy, Utah, 84070, copies of all my medical records, including, but not limited to charts, notes, evaluations, test results, invoices and similar documents that you have in your possession as are described below. These records are needed by Global Child Adoption Agency in connection with an adoption of my child. I hereby release and absolve you from any and all liability for providing such information to Global Child Adoption Agency.<br \/>\n<br \/>\n<a href=\"https:\/\/aactofloveadoptions.com\/wp-content\/uploads\/2020\/09\/disclosed-Information.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/aactofloveadoptions.com\/wp-content\/uploads\/2020\/09\/disclosed-Information.png\" alt=\"\" width=\"976\" height=\"225\" \/><\/a><br \/>\n<br \/>\nI understand that this information may include, when applicable, information relating to sexually transmitted disease, Human Immunodeficiency Virus (HIV infection, Acquired Immune Deficiency Syndrome or AIDS Related Complex) and any other communicable disease. It may also include information about behavioral or mental health services, and referral or treatment for substance use disorder (as permitted by 42 CFR Part 2).<br \/>\nThis disclosure and use is for the following purpose: Adoption matter.<br \/>\nThis information may be disclosed to and used by the following categories of persons or organizations.<br \/>\n<br \/>\nAttorney(s) for adoptive parent(s) Adoptive parent(s)<br \/>\nAgency for adoptive parent(s) Court in connection with adoption, as necessary<br \/>\n<br \/>\nInterstate Compact on the Placement of Children, as necessary<br \/>\n<br \/>\nI understand that I have a right to revoke this authorization at any time. I understand that if I revoke this authorization I must do so in writing and present my written revocation to youment. I understand that the revocation will not apply to my insurance company when the law provides my insurer with the right to contest a claim under my policy. Unless otherwise revoked, this authorization will expire one year from the signature date.<br \/>\n<br \/>\nI understand that authorizing the disclosure of this health information is voluntary. I also understand that I may refuse to sign this authorization and that my refusal to sign will not affect my ability to obtain treatment, payment for services, or eligibility for benefits.<br \/>\nBy signing this Authorization, I understand that any disclosure of information carries with it the potential for an unauthorized redisclosure and the information may not be protected by federal privacy rules. I further understand I have the right to receive a copy of this signed authorization. I understand and agree that a photo-copy<\/li><li id=\"field_4_128\"><\/li><li id=\"field_4_124\">\n<center><\/center><\/li><li id=\"field_4_125\"><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex'>I have contacted Global Child Adoption Agency\/Alternative Options and Services for Children (&#8220;Global Child Adoption Agency&#8221;) for the purpose of possibly placing my child for adoption.\nShould I choose not to place my child for adoption, I understand that it may become necessary for Global Child Adoption Agency to provide my name, home address, home telephone number and social security number to medical providers so that arrangements can be made for my medical bills to be paid.\nAs such, if I choose not to place my child for adoption, I hereby authorize Global Child Adoption Agency to release my name, home address, home telephone number and social security number to those who have provided medical services to me. I may also choose to provide such information to the medical providers on my own. I release and hold harmless \nGlobal Child Adoption Agency from any claims, causes of action, injuries, damages, or losses arising from the release of such information to my medical providers.*<\/label><input name='input_125.1' id='input_4_125_1' type='checkbox' value='1' tabindex='280' aria-describedby=\"gfield_consent_description_4_125\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label for='input_4_125_1'><b>I approve the release of identifying information<\/b><\/label><input type='hidden' name='input_125.2' value='&lt;b&gt;I approve the release of identifying information&lt;\/b&gt;' class='gform_hidden' \/><input type='hidden' name='input_125.3' value='4' class='gform_hidden' \/>I have contacted Global Child Adoption Agency\/Alternative Options and Services for Children (&#8220;Global Child Adoption Agency&#8221;) for the purpose of possibly placing my child for adoption.<br \/>\n<br \/>\nShould I choose not to place my child for adoption, I understand that it may become necessary for Global Child Adoption Agency to provide my name, home address, home telephone number and social security number to medical providers so that arrangements can be made for my medical bills to be paid.<br \/>\n<br \/>\nAs such, if I choose not to place my child for adoption, I hereby authorize Global Child Adoption Agency to release my name, home address, home telephone number and social security number to those who have provided medical services to me. I may also choose to provide such information to the medical providers on my own. I release and hold harmless <br \/>\n<br \/>\nGlobal Child Adoption Agency from any claims, causes of action, injuries, damages, or losses arising from the release of such information to my medical providers.<\/li><\/ul>\n        <input type='submit' id='gform_previous_button_4' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='281' \/> <input type='submit' id='gform_submit_button_4' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit' tabindex='282' \/> <input type='hidden' name='gform_ajax' value='form_id=4&amp;title=&amp;description=1&amp;tabindex=100&amp;theme=legacy&amp;styles=[]&amp;hash=3724607f74ebe96e7d4a117cc819380f' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_4' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_4' id='gform_theme_4' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_4' id='gform_style_settings_4' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_4' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='4' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_4' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_4' id='gform_target_page_number_4' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_4' id='gform_source_page_number_4' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n                        <label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"93\"\/><\/form>\n\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_4' id='gform_ajax_frame_4' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'><\/iframe>\n\n","protected":false},"excerpt":{"rendered":"<p>Birth Parent Application If you&#8217;re considering placing a child for adoption, this is the first step. Filling out this application lets us know you&#8217;re ready to start the adoption process. Your team is here to support you. Once you submit your application, a member of our team will reach out to you quickly, usually the [&hellip;]<\/p>\n","protected":false},"author":20,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-27283","page","type-page","status-publish","hentry"],"rankMath":{"parentDomain":"aactofloveadoptions.com","noFollowDomains":[],"noFollowExcludeDomains":[],"noFollowExternalLinks":false,"featuredImageNotice":"The featured image should be at least 200 by 200 pixels to be picked up by Facebook and other social media sites.","pluginReviewed":false,"postSettings":{"linkSuggestions":true,"useFocusKeyword":false},"frontEndScore":false,"postName":"birth-parent-online-application-packet","permalinkFormat":"https:\/\/aactofloveadoptions.com\/%pagename%\/","showLockModifiedDate":true,"assessor":{"focusKeywordLink":"https:\/\/aactofloveadoptions.com\/wp-admin\/edit.php?focus_keyword=%focus_keyword%&post_type=%post_type%","hasTOCPlugin":{"bbpowerpack\/bb-powerpack.php":"PowerPack for Beaver Builder","bb-ultimate-addon\/bb-ultimate-addon.php":"Ultimate Addons for Beaver Builder"},"primaryTaxonomy":false,"serpData":{"title":"","description":"","focusKeywords":"","pillarContent":false,"canonicalUrl":"","breadcrumbTitle":"","advancedRobots":{"max-snippet":"-1","max-video-preview":"-1","max-image-preview":"large"},"facebookTitle":"","facebookDescription":"","facebookImage":"","facebookImageID":"","facebookHasOverlay":false,"facebookImageOverlay":"","facebookAuthor":"","twitterCardType":"","twitterUseFacebook":true,"twitterTitle":"","twitterDescription":"","twitterImage":"","twitterImageID":"","twitterHasOverlay":false,"twitterImageOverlay":"","twitterPlayerUrl":"","twitterPlayerSize":"","twitterPlayerStream":"","twitterPlayerStreamCtype":"","twitterAppDescription":"","twitterAppIphoneName":"","twitterAppIphoneID":"","twitterAppIphoneUrl":"","twitterAppIpadName":"","twitterAppIpadID":"","twitterAppIpadUrl":"","twitterAppGoogleplayName":"","twitterAppGoogleplayID":"","twitterAppGoogleplayUrl":"","twitterAppCountry":"","robots":{"index":true},"twitterAuthor":"username","primaryTerm":0,"authorName":"Rodolfo Vergara","titleTemplate":"%title% %page% %sep% %sitename%","descriptionTemplate":"%excerpt%","showScoreFrontend":true,"lockModifiedDate":false},"powerWords":["a cut above","absolute","absolutely","absolutely lowest","absurd","abuse","accurate","accuse","achieve","actionable","adaptable","adequate","admit","adorable","advantage","advice","affordable","aggravate","aggressive","agitated","agonizing","agony","alarmed","alarming","alienated","aligned","alive","all-inclusive","alluring","always","amazing","amp","animated","annihilate","announcing","anonymous","antagonistic","anxious","apocalypse","appalled","approved","approving","argumentative","armageddon","arrogant","ass kicking","assault","assured","astonishing","astounded","astounding","at ease","atrocious","attack","attractive","audacity","authentic","authoritative","authority","avoid","aware","awe-inspiring","awesome","awkward","backbone","backdoor","backed","backlash","backstabbing","badass","balanced","banned","bargain","barrage","basic","battle","beaming","beat down","beating","beautiful","beauty","begging","behind the scenes","belief","belong","best","best-selling","better","beware","big","billion","black market","blacklisted","blast","blessed","blinded","blissful","blood","bloodbath","bloodcurdling","bloody","blunder","blushing","bold","bomb","bona","bona fide","bonanza","bonus","bootleg","bottom line","bountiful","brave","bravery","brazen","break","breaking","breakthrough","breathtaking","bright","brilliant","broke","brutal","budget","buffoon","bullshit","bully","bumbling","buy","cadaver","calm","cancel anytime","capable","captivate","captivating","carefree","case study","cash","cataclysmic","catapult","catastrophe","caution","censored","centered","certain","certainly","certified","challenge","charming","cheap","cheat","cheat-sheet","cheer","cheerful","child-like","clarity","classified","clear","clueless","collapse","colorful","colossal","comfortable","compare","competitive","complete","completely","completeness","comprehensive","compromise","compulsive","concealed","conclusive","condemning","condescending","confess","confession","confessions","confident","confidential","conquer","conscientious","constructive","content","contrary","controlling","controversial","convenient","convert","cool","cooperative","copy","corpse","corrupt","corrupting","courage","courageous","cover-up","covert","coward","cowardly","crammed","crave","crazy","create","creative","cringeworthy","cripple","crisis","critical","crooked","crush","crushing","damaging","danger","dangerous","daring","dazzling","dead","deadline","deadly","death","decadent","deceived","deceptive","deep","defiance","definitely","definitive","defying","dejected","delicious","delight","delighted","delightful","delirious","delivered","demoralizing","deplorable","depraved","desire","desperate","despicable","destiny","destroy","detailed","devastating","devoted","diagnosed","direct","dirty","disadvantages","disastrous","discount","discover","disdainful","disempowered","disgusted","disgusting","dishonest","disillusioned","disoriented","distracted","distraught","distressed","distrustful","divulge","document","dollar","dominate","doomed","double","doubtful","download","dreadful","dreamy","drive","drowning","dumb","dynamic","eager","earnest","easily","easy","economical","ecstatic","edge","effective","efficient","effortless","elated","eliminate","elite","embarrass","embarrassed","embarrassing","emergency","emerging","emphasize","empowered","enchant","encouraged","endorsed","energetic","energy","enormous","enraged","enthusiastic","envy","epic","epidemic","essential","ethical","euphoric","evil","exactly","exasperated","excellent","excited","excitement","exciting","exclusive","exclusivity","excruciating","exhilarated","expensive","expert","explode","exploit","explosive","exposed","exquisite","extra","extraordinary","extremely","exuberant","eye-opening","fail","fail-proof","failure","faith","famous","fantasy","fascinating","fatigued","faux","faux pas","fearless","feast","feeble","festive","fide","fierce","fight","final","fine","fired","first","first ever","flirt","fluid","focus","focused","fool","fooled","foolish","forbidden","force-fed","forever","forgiving","forgotten","formula","fortune","foul","frantic","free","freebie","freedom","frenzied","frenzy","frightening","frisky","frugal","frustrated","fulfill","fulfilled","full","fully","fun","fun-loving","fundamentals","funniest","funny","furious","gambling","gargantuan","genius","genuine","gift","gigantic","giveaway","glamorous","gleeful","glorious","glowing","goddamn","gorgeous","graceful","grateful","gratified","gravity","great","greatest","greatness","greed","greedy","gripping","grit","grounded","growth","guaranteed","guilt","guilt-free","gullible","guts","hack","happiness","happy","harmful","harsh","hate","have you heard","havoc","hazardous","healthy","heart","heartbreaking","heartwarming","heavenly","hell","helpful","helplessness","hero","hesitant","hidden","high tech","highest","highly effective","hilarious","hoak","hoax","honest","honored","hope","hopeful","horribly","horrific","horrifying","horror","hostile","how to","huge","humility","humor","hurricane","hurry","hypnotic","idiot","ignite","illegal","illusive","imagination","immediately","imminently","impatience","impatient","impenetrable","important","impressive","improved","in the zone","incapable","incapacitated","incompetent","inconsiderate","increase","incredible","indecisive","indulgence","indulgent","inexpensive","inferior","informative","infuriated","ingredients","innocent","innovative","insane","insecure","insider","insidious","inspired","inspiring","instant savings","instantly","instructive","insult","intel","intelligent","intense","interesting","intriguing","introducing","invasion","investment","iron-clad","ironclad","irresistible","irs","is here","jackpot","jail","jaw-dropping","jealous","jeopardy","jittery","jovial","joyous","jubilant","judgmental","jumpstart","just arrived","keen","kickass","kickstart","kill","killed","killing","kills","know it all","lame","largest","lascivious","last","last chance","last minute","latest","laugh","laughing","launch","launching","lavishly","lawsuit","lazy","left behind","legendary","legitimate","liberal","liberated","lick","lies","life-changing","lifetime","light","lighthearted","likely","limited","literally","little-known","loathsome","lonely","looming","loser","lost","love","lucrative","lunatic","lurking","lust","luxurious","luxury","lying","magic","magical","magnificent","mainstream","malicious","mammoth","manipulative","marked down","massive","master","masterclass","maul","mediocre","meditative","meltdown","memorability","memorable","menacing","mesmerizing","meticulous","mind-blowing","minimalist","miracle","mired","mischievous","misgiving","missing out","mistake","monetize","money","moneyback","moneygrubbing","monumental","most important","motivated","mouth-watering","murder","mystery","nail","naked","natural","naughty","nazi","nest egg","never","new","nightmare","no good","no obligation","no one talks about","no questions asked","no risk","no strings attached","non-controlling","noted","novelty","now","obnoxious","obsessed","obsession","obvious","odd","off-kilter","off-limits","off-the record","offensive","official","okay","on-demand","open-minded","opportunities","optimistic","ordeal","outlawed","outrageousness","outstanding","overcome","overjoyed","overnight","overwhelmed","packed","painful","painless","painstaking","pale","panic","panicked","paralyzed","pas","passionate","pathetic","pay zero","payback","perfect","peril","perplexed","perspective","pessimistic","pioneering","piranha","pitfall","pitiful","placid","plague","played","playful","pleased","pluck","plummet","plunge","poison","poisonous","polarizing","poor","popular","portfolio","pound","powerful","powerless","practical","preposterous","prestige","price","priceless","pride","prison","privacy","private","privileged","prize","problem","productive","professional","profit","profitable","profound","promiscuous","promising","promote","protect","protected","proven","provocative","provoke","psychological","pummel","punch","punish","pus","quadruple","quality","quarrelsome","quick","quick-start","quickly","quiet","radiant","rare","ravenous","rebellious","recession-proof","reckoning","recognized","recommend","recreate","reduced","reflective","refugee","refund","refundable","reject","relaxed","release","relentless","reliable","remarkable","replicate","report","reprimanding","repulsed","repulsive","research","resentful","resourceful","responsible","responsive","rested","restricted","results","retaliating","reveal","revealing","revenge","revengeful","revisited","revolting","revolutionary","reward","rich","ridiculous","risky","riveting","rookie","rowdy","ruin","rules","ruthless","sabotaging","sacred","sadistic","sadly","sadness","safe","safety","sale","sampler","sarcastic","satisfied","savage","savagery","save","savings","savvy","scam","scandal","scandalous","scarce","scared","scary","scornful","scream","searing","secret","secret agenda","secret plot","secrets","secure","security","seductive","seething","seize","selected","self-hating","self-sufficient","sensational","senseless","sensual","serene","seriously","severe","sex","sexy","shaking","shameful","shameless","shaming","shatter","shellacking","shocking","should","shrewd","sick and tired","signs","silly","simple","simplicity","simplified","simplistic","sincere","sinful","sins","six-figure","sizable","sizzle","sizzled","sizzles","sizzling","sizzlingly","skill","skyrocket","slaughter","slave","sleazy","sleeping","sly","smash","smiling","smug","smuggle","smuggled","sneak-peek","sneaky","sniveling","snob","snooty","snotty","soar","soaring","solid","solution","spank","special","spectacular","speedy","spell-binding","spine","spirit","spirited","spiteful","spoiler","spontaneous","spotlight","spunky","squirming","stable","staggering","startling","steady","steal","stealthy","steamy","step-by-step","still","stoic","stop","strange","strangle","strategy","stressed","strong","strongly suggest","struggle","stuck up","studies","stunning","stupid","stupid-simple","sturdy","sublime","succeed","success","successful","suck","suddenly","suffer","sunny","super","super-human","superb","supercharge","superior","supported","supportive","sure","sure fire","surefire","surge","surging","surprise","surprised","surprising","survival","survive","suspicious","sweaty","swoon","swoon-worthy","tailspin","tank","tantalizing","targeted","tawdry","tease","technology","teetering","tempting","tenacious","tense","terrible","terrific","terrified","terrifying","terror","terrorist","tested","thankful","the truth","threaten","threatened","thrilled","thrilling","thug","ticked off","tickled","timely","today","torture","toxic","track record","trade secret","tragedy","tragic","transform","transparency","trap","trapped","trauma","traumatized","treacherous","treasure","tremendous","trend","tricks","triggers","triple","triumph","truly","trusting","trustworthy","truth","truthful","turbo-charge","turbocharges","tweaks","twitching","ultimate","unadulterated","unassuming","unauthorized","unbelievable","unburdened","uncaring","uncensored","uncertain","uncomfortable","unconditional","uncontrollable","unconventional","uncovered","undeniable","under priced","undercover","underground","underhanded","underused","unexpected","unforgettable","unheard of","unhurried","uninterested","unique","unjustified","unknowingly","unleashed","unlimited","unlock","unparalleled","unpopular","unreliable","unresponsive","unseen","unstable","unstoppable","unsure","unsurpassed","untapped","unusual","up-sell","upbeat","uplifted","uplifting","urge","urgent","useful","useless","validate","valor","valuable","value","vanquish","vaporize","venomous","verify","vibrant","vicious","victim","victory","vigorous","vilified","vindictive","violated","violent","volatile","vulnerable","waiting","wanted","wanton","warning","waste","weak","wealth","weird","what no one tells you","whip","whopping","wicked","wild","willpower","withheld","wonderful","wondrous","woozy","world","worry","worst","worthwhile","wounded","wreaking","youthful","zen","zinger"],"diacritics":{"A":"[\\u0041\\u24B6\\uFF21\\u00C0\\u00C1\\u00C2\\u1EA6\\u1EA4\\u1EAA\\u1EA8\\u00C3\\u0100\\u0102\\u1EB0\\u1EAE\\u1EB4\\u1EB2\\u0226\\u01E0\\u00C4\\u01DE\\u1EA2\\u00C5\\u01FA\\u01CD\\u0200\\u0202\\u1EA0\\u1EAC\\u1EB6\\u1E00\\u0104\\u023A\\u2C6F]","AA":"[\\uA732]","AE":"[\\u00C6\\u01FC\\u01E2]","AO":"[\\uA734]","AU":"[\\uA736]","AV":"[\\uA738\\uA73A]","AY":"[\\uA73C]","B":"[\\u0042\\u24B7\\uFF22\\u1E02\\u1E04\\u1E06\\u0243\\u0182\\u0181]","C":"[\\u0043\\u24B8\\uFF23\\u0106\\u0108\\u010A\\u010C\\u00C7\\u1E08\\u0187\\u023B\\uA73E]","D":"[\\u0044\\u24B9\\uFF24\\u1E0A\\u010E\\u1E0C\\u1E10\\u1E12\\u1E0E\\u0110\\u018B\\u018A\\u0189\\uA779]","DZ":"[\\u01F1\\u01C4]","Dz":"[\\u01F2\\u01C5]","E":"[\\u0045\\u24BA\\uFF25\\u00C8\\u00C9\\u00CA\\u1EC0\\u1EBE\\u1EC4\\u1EC2\\u1EBC\\u0112\\u1E14\\u1E16\\u0114\\u0116\\u00CB\\u1EBA\\u011A\\u0204\\u0206\\u1EB8\\u1EC6\\u0228\\u1E1C\\u0118\\u1E18\\u1E1A\\u0190\\u018E]","F":"[\\u0046\\u24BB\\uFF26\\u1E1E\\u0191\\uA77B]","G":"[\\u0047\\u24BC\\uFF27\\u01F4\\u011C\\u1E20\\u011E\\u0120\\u01E6\\u0122\\u01E4\\u0193\\uA7A0\\uA77D\\uA77E]","H":"[\\u0048\\u24BD\\uFF28\\u0124\\u1E22\\u1E26\\u021E\\u1E24\\u1E28\\u1E2A\\u0126\\u2C67\\u2C75\\uA78D]","I":"[\\u0049\\u24BE\\uFF29\\u00CC\\u00CD\\u00CE\\u0128\\u012A\\u012C\\u0130\\u00CF\\u1E2E\\u1EC8\\u01CF\\u0208\\u020A\\u1ECA\\u012E\\u1E2C\\u0197]","J":"[\\u004A\\u24BF\\uFF2A\\u0134\\u0248]","K":"[\\u004B\\u24C0\\uFF2B\\u1E30\\u01E8\\u1E32\\u0136\\u1E34\\u0198\\u2C69\\uA740\\uA742\\uA744\\uA7A2]","L":"[\\u004C\\u24C1\\uFF2C\\u013F\\u0139\\u013D\\u1E36\\u1E38\\u013B\\u1E3C\\u1E3A\\u0141\\u023D\\u2C62\\u2C60\\uA748\\uA746\\uA780]","LJ":"[\\u01C7]","Lj":"[\\u01C8]","M":"[\\u004D\\u24C2\\uFF2D\\u1E3E\\u1E40\\u1E42\\u2C6E\\u019C]","N":"[\\u004E\\u24C3\\uFF2E\\u01F8\\u0143\\u00D1\\u1E44\\u0147\\u1E46\\u0145\\u1E4A\\u1E48\\u0220\\u019D\\uA790\\uA7A4]","NJ":"[\\u01CA]","Nj":"[\\u01CB]","O":"[\\u004F\\u24C4\\uFF2F\\u00D2\\u00D3\\u00D4\\u1ED2\\u1ED0\\u1ED6\\u1ED4\\u00D5\\u1E4C\\u022C\\u1E4E\\u014C\\u1E50\\u1E52\\u014E\\u022E\\u0230\\u00D6\\u022A\\u1ECE\\u0150\\u01D1\\u020C\\u020E\\u01A0\\u1EDC\\u1EDA\\u1EE0\\u1EDE\\u1EE2\\u1ECC\\u1ED8\\u01EA\\u01EC\\u00D8\\u01FE\\u0186\\u019F\\uA74A\\uA74C]","OI":"[\\u01A2]","OO":"[\\uA74E]","OU":"[\\u0222]","P":"[\\u0050\\u24C5\\uFF30\\u1E54\\u1E56\\u01A4\\u2C63\\uA750\\uA752\\uA754]","Q":"[\\u0051\\u24C6\\uFF31\\uA756\\uA758\\u024A]","R":"[\\u0052\\u24C7\\uFF32\\u0154\\u1E58\\u0158\\u0210\\u0212\\u1E5A\\u1E5C\\u0156\\u1E5E\\u024C\\u2C64\\uA75A\\uA7A6\\uA782]","S":"[\\u0053\\u24C8\\uFF33\\u1E9E\\u015A\\u1E64\\u015C\\u1E60\\u0160\\u1E66\\u1E62\\u1E68\\u0218\\u015E\\u2C7E\\uA7A8\\uA784]","T":"[\\u0054\\u24C9\\uFF34\\u1E6A\\u0164\\u1E6C\\u021A\\u0162\\u1E70\\u1E6E\\u0166\\u01AC\\u01AE\\u023E\\uA786]","TZ":"[\\uA728]","U":"[\\u0055\\u24CA\\uFF35\\u00D9\\u00DA\\u00DB\\u0168\\u1E78\\u016A\\u1E7A\\u016C\\u00DC\\u01DB\\u01D7\\u01D5\\u01D9\\u1EE6\\u016E\\u0170\\u01D3\\u0214\\u0216\\u01AF\\u1EEA\\u1EE8\\u1EEE\\u1EEC\\u1EF0\\u1EE4\\u1E72\\u0172\\u1E76\\u1E74\\u0244]","V":"[\\u0056\\u24CB\\uFF36\\u1E7C\\u1E7E\\u01B2\\uA75E\\u0245]","VY":"[\\uA760]","W":"[\\u0057\\u24CC\\uFF37\\u1E80\\u1E82\\u0174\\u1E86\\u1E84\\u1E88\\u2C72]","X":"[\\u0058\\u24CD\\uFF38\\u1E8A\\u1E8C]","Y":"[\\u0059\\u24CE\\uFF39\\u1EF2\\u00DD\\u0176\\u1EF8\\u0232\\u1E8E\\u0178\\u1EF6\\u1EF4\\u01B3\\u024E\\u1EFE]","Z":"[\\u005A\\u24CF\\uFF3A\\u0179\\u1E90\\u017B\\u017D\\u1E92\\u1E94\\u01B5\\u0224\\u2C7F\\u2C6B\\uA762]","a":"[\\u0061\\u24D0\\uFF41\\u1E9A\\u00E0\\u00E1\\u00E2\\u1EA7\\u1EA5\\u1EAB\\u1EA9\\u00E3\\u0101\\u0103\\u1EB1\\u1EAF\\u1EB5\\u1EB3\\u0227\\u01E1\\u00E4\\u01DF\\u1EA3\\u00E5\\u01FB\\u01CE\\u0201\\u0203\\u1EA1\\u1EAD\\u1EB7\\u1E01\\u0105\\u2C65\\u0250]","aa":"[\\uA733]","ae":"[\\u00E6\\u01FD\\u01E3]","ao":"[\\uA735]","au":"[\\uA737]","av":"[\\uA739\\uA73B]","ay":"[\\uA73D]","b":"[\\u0062\\u24D1\\uFF42\\u1E03\\u1E05\\u1E07\\u0180\\u0183\\u0253]","c":"[\\u0063\\u24D2\\uFF43\\u0107\\u0109\\u010B\\u010D\\u00E7\\u1E09\\u0188\\u023C\\uA73F\\u2184]","d":"[\\u0064\\u24D3\\uFF44\\u1E0B\\u010F\\u1E0D\\u1E11\\u1E13\\u1E0F\\u0111\\u018C\\u0256\\u0257\\uA77A]","dz":"[\\u01F3\\u01C6]","e":"[\\u0065\\u24D4\\uFF45\\u00E8\\u00E9\\u00EA\\u1EC1\\u1EBF\\u1EC5\\u1EC3\\u1EBD\\u0113\\u1E15\\u1E17\\u0115\\u0117\\u00EB\\u1EBB\\u011B\\u0205\\u0207\\u1EB9\\u1EC7\\u0229\\u1E1D\\u0119\\u1E19\\u1E1B\\u0247\\u025B\\u01DD]","f":"[\\u0066\\u24D5\\uFF46\\u1E1F\\u0192\\uA77C]","g":"[\\u0067\\u24D6\\uFF47\\u01F5\\u011D\\u1E21\\u011F\\u0121\\u01E7\\u0123\\u01E5\\u0260\\uA7A1\\u1D79\\uA77F]","h":"[\\u0068\\u24D7\\uFF48\\u0125\\u1E23\\u1E27\\u021F\\u1E25\\u1E29\\u1E2B\\u1E96\\u0127\\u2C68\\u2C76\\u0265]","hv":"[\\u0195]","i":"[\\u0069\\u24D8\\uFF49\\u00EC\\u00ED\\u00EE\\u0129\\u012B\\u012D\\u00EF\\u1E2F\\u1EC9\\u01D0\\u0209\\u020B\\u1ECB\\u012F\\u1E2D\\u0268\\u0131]","j":"[\\u006A\\u24D9\\uFF4A\\u0135\\u01F0\\u0249]","k":"[\\u006B\\u24DA\\uFF4B\\u1E31\\u01E9\\u1E33\\u0137\\u1E35\\u0199\\u2C6A\\uA741\\uA743\\uA745\\uA7A3]","l":"[\\u006C\\u24DB\\uFF4C\\u0140\\u013A\\u013E\\u1E37\\u1E39\\u013C\\u1E3D\\u1E3B\\u017F\\u0142\\u019A\\u026B\\u2C61\\uA749\\uA781\\uA747]","lj":"[\\u01C9]","m":"[\\u006D\\u24DC\\uFF4D\\u1E3F\\u1E41\\u1E43\\u0271\\u026F]","n":"[\\u006E\\u24DD\\uFF4E\\u01F9\\u0144\\u00F1\\u1E45\\u0148\\u1E47\\u0146\\u1E4B\\u1E49\\u019E\\u0272\\u0149\\uA791\\uA7A5]","nj":"[\\u01CC]","o":"[\\u006F\\u24DE\\uFF4F\\u00F2\\u00F3\\u00F4\\u1ED3\\u1ED1\\u1ED7\\u1ED5\\u00F5\\u1E4D\\u022D\\u1E4F\\u014D\\u1E51\\u1E53\\u014F\\u022F\\u0231\\u00F6\\u022B\\u1ECF\\u0151\\u01D2\\u020D\\u020F\\u01A1\\u1EDD\\u1EDB\\u1EE1\\u1EDF\\u1EE3\\u1ECD\\u1ED9\\u01EB\\u01ED\\u00F8\\u01FF\\u0254\\uA74B\\uA74D\\u0275]","oi":"[\\u01A3]","ou":"[\\u0223]","oo":"[\\uA74F]","p":"[\\u0070\\u24DF\\uFF50\\u1E55\\u1E57\\u01A5\\u1D7D\\uA751\\uA753\\uA755]","q":"[\\u0071\\u24E0\\uFF51\\u024B\\uA757\\uA759]","r":"[\\u0072\\u24E1\\uFF52\\u0155\\u1E59\\u0159\\u0211\\u0213\\u1E5B\\u1E5D\\u0157\\u1E5F\\u024D\\u027D\\uA75B\\uA7A7\\uA783]","s":"[\\u0073\\u24E2\\uFF53\\u015B\\u1E65\\u015D\\u1E61\\u0161\\u1E67\\u1E63\\u1E69\\u0219\\u015F\\u023F\\uA7A9\\uA785\\u1E9B]","ss":"[\\u00DF]","t":"[\\u0074\\u24E3\\uFF54\\u1E6B\\u1E97\\u0165\\u1E6D\\u021B\\u0163\\u1E71\\u1E6F\\u0167\\u01AD\\u0288\\u2C66\\uA787]","tz":"[\\uA729]","u":"[\\u0075\\u24E4\\uFF55\\u00F9\\u00FA\\u00FB\\u0169\\u1E79\\u016B\\u1E7B\\u016D\\u00FC\\u01DC\\u01D8\\u01D6\\u01DA\\u1EE7\\u016F\\u0171\\u01D4\\u0215\\u0217\\u01B0\\u1EEB\\u1EE9\\u1EEF\\u1EED\\u1EF1\\u1EE5\\u1E73\\u0173\\u1E77\\u1E75\\u0289]","v":"[\\u0076\\u24E5\\uFF56\\u1E7D\\u1E7F\\u028B\\uA75F\\u028C]","vy":"[\\uA761]","w":"[\\u0077\\u24E6\\uFF57\\u1E81\\u1E83\\u0175\\u1E87\\u1E85\\u1E98\\u1E89\\u2C73]","x":"[\\u0078\\u24E7\\uFF58\\u1E8B\\u1E8D]","y":"[\\u0079\\u24E8\\uFF59\\u1EF3\\u00FD\\u0177\\u1EF9\\u0233\\u1E8F\\u00FF\\u1EF7\\u1E99\\u1EF5\\u01B4\\u024F\\u1EFF]","z":"[\\u007A\\u24E9\\uFF5A\\u017A\\u1E91\\u017C\\u017E\\u1E93\\u1E95\\u01B6\\u0225\\u0240\\u2C6C\\uA763]"},"researchesTests":["contentHasTOC","contentHasShortParagraphs","contentHasAssets","keywordInTitle","keywordInMetaDescription","keywordInPermalink","keywordIn10Percent","keywordInContent","keywordInSubheadings","keywordInImageAlt","keywordDensity","keywordNotUsed","lengthContent","lengthPermalink","linksHasInternal","linksHasExternals","linksNotAllExternals","titleStartWithKeyword","titleSentiment","titleHasPowerWords","titleHasNumber","hasContentAI"],"hasRedirection":true,"hasBreadcrumb":true},"homeUrl":"https:\/\/aactofloveadoptions.com","objectID":27283,"objectType":"post","locale":"en","localeFull":"en_US","overlayImages":{"play":{"name":"Play icon","url":"https:\/\/aactofloveadoptions.com\/wp-content\/plugins\/seo-by-rank-math\/assets\/admin\/img\/icon-play.png","path":"\/nas\/content\/live\/aactoflove\/wp-content\/plugins\/seo-by-rank-math\/assets\/admin\/img\/icon-play.png","position":"middle_center"},"gif":{"name":"GIF icon","url":"https:\/\/aactofloveadoptions.com\/wp-content\/plugins\/seo-by-rank-math\/assets\/admin\/img\/icon-gif.png","path":"\/nas\/content\/live\/aactoflove\/wp-content\/plugins\/seo-by-rank-math\/assets\/admin\/img\/icon-gif.png","position":"middle_center"}},"defautOgImage":"https:\/\/aactofloveadoptions.com\/wp-content\/plugins\/seo-by-rank-math\/assets\/admin\/img\/social-placeholder.jpg","customPermalinks":true,"isUserRegistered":false,"autoSuggestKeywords":false,"connectSiteUrl":"https:\/\/rankmath.com\/auth?site=https%3A%2F%2Faactofloveadoptions.com&r=https%3A%2F%2Faactofloveadoptions.com%2Fwp-json%2Fwp%2Fv2%2Fpages%2F27283%3Fnonce%3Daeeb971e0c&pro=1","maxTags":100,"trendsIcon":"<svg width=\"100%\" height=\"100%\" viewBox=\"0 0 36 36\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" fit=\"\" preserveAspectRatio=\"xMidYMid meet\" focusable=\"false\">\n\t\t<g id=\"Page-1\" stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\">\n\t\t\t<g id=\"Trends-Arrow\">\n\t\t\t\t<g id=\"TrendsArrow\">\n\t\t\t\t\t<path d=\"M1.11227159,26.3181534 L10.2875029,17.1429221 L13.7152617,20.5706809 L4.5400304,29.7459122 C4.20518633,30.0807563 3.66229681,30.0807562 3.32745277,29.7459122 L1.11136262,27.529822 C0.776518575,27.194978 0.776518548,26.6520885 1.11136262,26.3172444 L1.11227159,26.3181534 Z\" id=\"Shape\" fill=\"#4285F4\" fill-rule=\"nonzero\"><\/path>\n\t\t\t\t\t<path d=\"M14.3201543,14.3211528 L22.283717,22.2847155 L19.4658829,25.1025495 C19.1310388,25.4373936 18.5881494,25.4373937 18.2533053,25.1025495 L10.2906516,17.1398959 L13.1084857,14.3220618 C13.4429747,13.987572 13.9851638,13.9871653 14.3201543,14.3211528 Z\" id=\"Shape\" fill=\"#EA4335\" fill-rule=\"nonzero\"><\/path>\n\t\t\t\t\t<polygon id=\"Rectangle-path\" fill=\"#FABB05\" fill-rule=\"nonzero\" points=\"18.8573051 18.8577571 28.2843236 9.43073862 31.7120824 12.8584974 22.2850639 22.2855159\"><\/polygon>\n\t\t\t\t\t<path d=\"M35.0711567,15.5054713 L35.0711567,7 L35.0711567,7 C35.0711567,6.44771525 34.6234415,6 34.0711567,6 L25.5656854,6 L25.5656854,6 C25.0134007,6 24.5656854,6.44771525 24.5656854,7 C24.5656854,7.26521649 24.6710423,7.5195704 24.8585786,7.70710678 L33.3640499,16.2125781 L33.3640499,16.2125781 C33.7545742,16.6031024 34.3877392,16.6031024 34.7782635,16.2125781 C34.9657999,16.0250417 35.0711567,15.7706878 35.0711567,15.5054713 Z\" id=\"Shape\" fill=\"#34A853\" fill-rule=\"nonzero\"><\/path>\n\t\t\t\t\t<rect id=\"Rectangle-path\" x=\"0\" y=\"0\" width=\"36\" height=\"36\"><\/rect>\n\t\t\t\t<\/g>\n\t\t\t<\/g>\n\t\t<\/g>\n\t<\/svg>","showScore":true,"siteFavIcon":"data:image\/png;base64,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","canUser":{"general":false,"advanced":false,"snippet":false,"social":false,"analysis":false,"analytics":false,"content_ai":false},"showKeywordIntent":true,"isPro":true,"is_front_page":false,"trendsUpgradeLink":"https:\/\/aactofloveadoptions.com\/wp-admin\/admin.php?page=rank-math&view=help","trendsUpgradeLabel":"Activate now","trendsPreviewImage":"https:\/\/aactofloveadoptions.com\/wp-content\/plugins\/seo-by-rank-math\/assets\/admin\/img\/trends-preview.jpg","currentEditor":false,"homepageData":{"assessor":{"powerWords":["a cut above","absolute","absolutely","absolutely lowest","absurd","abuse","accurate","accuse","achieve","actionable","adaptable","adequate","admit","adorable","advantage","advice","affordable","aggravate","aggressive","agitated","agonizing","agony","alarmed","alarming","alienated","aligned","alive","all-inclusive","alluring","always","amazing","amp","animated","annihilate","announcing","anonymous","antagonistic","anxious","apocalypse","appalled","approved","approving","argumentative","armageddon","arrogant","ass kicking","assault","assured","astonishing","astounded","astounding","at ease","atrocious","attack","attractive","audacity","authentic","authoritative","authority","avoid","aware","awe-inspiring","awesome","awkward","backbone","backdoor","backed","backlash","backstabbing","badass","balanced","banned","bargain","barrage","basic","battle","beaming","beat down","beating","beautiful","beauty","begging","behind the scenes","belief","belong","best","best-selling","better","beware","big","billion","black market","blacklisted","blast","blessed","blinded","blissful","blood","bloodbath","bloodcurdling","bloody","blunder","blushing","bold","bomb","bona","bona fide","bonanza","bonus","bootleg","bottom line","bountiful","brave","bravery","brazen","break","breaking","breakthrough","breathtaking","bright","brilliant","broke","brutal","budget","buffoon","bullshit","bully","bumbling","buy","cadaver","calm","cancel anytime","capable","captivate","captivating","carefree","case study","cash","cataclysmic","catapult","catastrophe","caution","censored","centered","certain","certainly","certified","challenge","charming","cheap","cheat","cheat-sheet","cheer","cheerful","child-like","clarity","classified","clear","clueless","collapse","colorful","colossal","comfortable","compare","competitive","complete","completely","completeness","comprehensive","compromise","compulsive","concealed","conclusive","condemning","condescending","confess","confession","confessions","confident","confidential","conquer","conscientious","constructive","content","contrary","controlling","controversial","convenient","convert","cool","cooperative","copy","corpse","corrupt","corrupting","courage","courageous","cover-up","covert","coward","cowardly","crammed","crave","crazy","create","creative","cringeworthy","cripple","crisis","critical","crooked","crush","crushing","damaging","danger","dangerous","daring","dazzling","dead","deadline","deadly","death","decadent","deceived","deceptive","deep","defiance","definitely","definitive","defying","dejected","delicious","delight","delighted","delightful","delirious","delivered","demoralizing","deplorable","depraved","desire","desperate","despicable","destiny","destroy","detailed","devastating","devoted","diagnosed","direct","dirty","disadvantages","disastrous","discount","discover","disdainful","disempowered","disgusted","disgusting","dishonest","disillusioned","disoriented","distracted","distraught","distressed","distrustful","divulge","document","dollar","dominate","doomed","double","doubtful","download","dreadful","dreamy","drive","drowning","dumb","dynamic","eager","earnest","easily","easy","economical","ecstatic","edge","effective","efficient","effortless","elated","eliminate","elite","embarrass","embarrassed","embarrassing","emergency","emerging","emphasize","empowered","enchant","encouraged","endorsed","energetic","energy","enormous","enraged","enthusiastic","envy","epic","epidemic","essential","ethical","euphoric","evil","exactly","exasperated","excellent","excited","excitement","exciting","exclusive","exclusivity","excruciating","exhilarated","expensive","expert","explode","exploit","explosive","exposed","exquisite","extra","extraordinary","extremely","exuberant","eye-opening","fail","fail-proof","failure","faith","famous","fantasy","fascinating","fatigued","faux","faux pas","fearless","feast","feeble","festive","fide","fierce","fight","final","fine","fired","first","first ever","flirt","fluid","focus","focused","fool","fooled","foolish","forbidden","force-fed","forever","forgiving","forgotten","formula","fortune","foul","frantic","free","freebie","freedom","frenzied","frenzy","frightening","frisky","frugal","frustrated","fulfill","fulfilled","full","fully","fun","fun-loving","fundamentals","funniest","funny","furious","gambling","gargantuan","genius","genuine","gift","gigantic","giveaway","glamorous","gleeful","glorious","glowing","goddamn","gorgeous","graceful","grateful","gratified","gravity","great","greatest","greatness","greed","greedy","gripping","grit","grounded","growth","guaranteed","guilt","guilt-free","gullible","guts","hack","happiness","happy","harmful","harsh","hate","have you heard","havoc","hazardous","healthy","heart","heartbreaking","heartwarming","heavenly","hell","helpful","helplessness","hero","hesitant","hidden","high tech","highest","highly effective","hilarious","hoak","hoax","honest","honored","hope","hopeful","horribly","horrific","horrifying","horror","hostile","how to","huge","humility","humor","hurricane","hurry","hypnotic","idiot","ignite","illegal","illusive","imagination","immediately","imminently","impatience","impatient","impenetrable","important","impressive","improved","in the zone","incapable","incapacitated","incompetent","inconsiderate","increase","incredible","indecisive","indulgence","indulgent","inexpensive","inferior","informative","infuriated","ingredients","innocent","innovative","insane","insecure","insider","insidious","inspired","inspiring","instant savings","instantly","instructive","insult","intel","intelligent","intense","interesting","intriguing","introducing","invasion","investment","iron-clad","ironclad","irresistible","irs","is here","jackpot","jail","jaw-dropping","jealous","jeopardy","jittery","jovial","joyous","jubilant","judgmental","jumpstart","just arrived","keen","kickass","kickstart","kill","killed","killing","kills","know it all","lame","largest","lascivious","last","last chance","last minute","latest","laugh","laughing","launch","launching","lavishly","lawsuit","lazy","left behind","legendary","legitimate","liberal","liberated","lick","lies","life-changing","lifetime","light","lighthearted","likely","limited","literally","little-known","loathsome","lonely","looming","loser","lost","love","lucrative","lunatic","lurking","lust","luxurious","luxury","lying","magic","magical","magnificent","mainstream","malicious","mammoth","manipulative","marked down","massive","master","masterclass","maul","mediocre","meditative","meltdown","memorability","memorable","menacing","mesmerizing","meticulous","mind-blowing","minimalist","miracle","mired","mischievous","misgiving","missing out","mistake","monetize","money","moneyback","moneygrubbing","monumental","most important","motivated","mouth-watering","murder","mystery","nail","naked","natural","naughty","nazi","nest egg","never","new","nightmare","no good","no obligation","no one talks about","no questions asked","no risk","no strings attached","non-controlling","noted","novelty","now","obnoxious","obsessed","obsession","obvious","odd","off-kilter","off-limits","off-the record","offensive","official","okay","on-demand","open-minded","opportunities","optimistic","ordeal","outlawed","outrageousness","outstanding","overcome","overjoyed","overnight","overwhelmed","packed","painful","painless","painstaking","pale","panic","panicked","paralyzed","pas","passionate","pathetic","pay zero","payback","perfect","peril","perplexed","perspective","pessimistic","pioneering","piranha","pitfall","pitiful","placid","plague","played","playful","pleased","pluck","plummet","plunge","poison","poisonous","polarizing","poor","popular","portfolio","pound","powerful","powerless","practical","preposterous","prestige","price","priceless","pride","prison","privacy","private","privileged","prize","problem","productive","professional","profit","profitable","profound","promiscuous","promising","promote","protect","protected","proven","provocative","provoke","psychological","pummel","punch","punish","pus","quadruple","quality","quarrelsome","quick","quick-start","quickly","quiet","radiant","rare","ravenous","rebellious","recession-proof","reckoning","recognized","recommend","recreate","reduced","reflective","refugee","refund","refundable","reject","relaxed","release","relentless","reliable","remarkable","replicate","report","reprimanding","repulsed","repulsive","research","resentful","resourceful","responsible","responsive","rested","restricted","results","retaliating","reveal","revealing","revenge","revengeful","revisited","revolting","revolutionary","reward","rich","ridiculous","risky","riveting","rookie","rowdy","ruin","rules","ruthless","sabotaging","sacred","sadistic","sadly","sadness","safe","safety","sale","sampler","sarcastic","satisfied","savage","savagery","save","savings","savvy","scam","scandal","scandalous","scarce","scared","scary","scornful","scream","searing","secret","secret agenda","secret plot","secrets","secure","security","seductive","seething","seize","selected","self-hating","self-sufficient","sensational","senseless","sensual","serene","seriously","severe","sex","sexy","shaking","shameful","shameless","shaming","shatter","shellacking","shocking","should","shrewd","sick and tired","signs","silly","simple","simplicity","simplified","simplistic","sincere","sinful","sins","six-figure","sizable","sizzle","sizzled","sizzles","sizzling","sizzlingly","skill","skyrocket","slaughter","slave","sleazy","sleeping","sly","smash","smiling","smug","smuggle","smuggled","sneak-peek","sneaky","sniveling","snob","snooty","snotty","soar","soaring","solid","solution","spank","special","spectacular","speedy","spell-binding","spine","spirit","spirited","spiteful","spoiler","spontaneous","spotlight","spunky","squirming","stable","staggering","startling","steady","steal","stealthy","steamy","step-by-step","still","stoic","stop","strange","strangle","strategy","stressed","strong","strongly suggest","struggle","stuck up","studies","stunning","stupid","stupid-simple","sturdy","sublime","succeed","success","successful","suck","suddenly","suffer","sunny","super","super-human","superb","supercharge","superior","supported","supportive","sure","sure fire","surefire","surge","surging","surprise","surprised","surprising","survival","survive","suspicious","sweaty","swoon","swoon-worthy","tailspin","tank","tantalizing","targeted","tawdry","tease","technology","teetering","tempting","tenacious","tense","terrible","terrific","terrified","terrifying","terror","terrorist","tested","thankful","the truth","threaten","threatened","thrilled","thrilling","thug","ticked off","tickled","timely","today","torture","toxic","track record","trade secret","tragedy","tragic","transform","transparency","trap","trapped","trauma","traumatized","treacherous","treasure","tremendous","trend","tricks","triggers","triple","triumph","truly","trusting","trustworthy","truth","truthful","turbo-charge","turbocharges","tweaks","twitching","ultimate","unadulterated","unassuming","unauthorized","unbelievable","unburdened","uncaring","uncensored","uncertain","uncomfortable","unconditional","uncontrollable","unconventional","uncovered","undeniable","under priced","undercover","underground","underhanded","underused","unexpected","unforgettable","unheard of","unhurried","uninterested","unique","unjustified","unknowingly","unleashed","unlimited","unlock","unparalleled","unpopular","unreliable","unresponsive","unseen","unstable","unstoppable","unsure","unsurpassed","untapped","unusual","up-sell","upbeat","uplifted","uplifting","urge","urgent","useful","useless","validate","valor","valuable","value","vanquish","vaporize","venomous","verify","vibrant","vicious","victim","victory","vigorous","vilified","vindictive","violated","violent","volatile","vulnerable","waiting","wanted","wanton","warning","waste","weak","wealth","weird","what no one tells you","whip","whopping","wicked","wild","willpower","withheld","wonderful","wondrous","woozy","world","worry","worst","worthwhile","wounded","wreaking","youthful","zen","zinger"],"diacritics":true,"researchesTests":["contentHasTOC","contentHasShortParagraphs","contentHasAssets","keywordInTitle","keywordInMetaDescription","keywordInPermalink","keywordIn10Percent","keywordInContent","keywordInSubheadings","keywordInImageAlt","keywordDensity","keywordNotUsed","lengthContent","lengthPermalink","linksHasInternal","linksHasExternals","linksNotAllExternals","titleStartWithKeyword","titleSentiment","titleHasPowerWords","titleHasNumber","hasContentAI"],"hasBreadcrumb":true,"serpData":{"title":"%sitename% %page% %sep% %sitedesc%","description":"","titleTemplate":"%sitename% %page% %sep% %sitedesc%","descriptionTemplate":"","focusKeywords":"","breadcrumbTitle":"Home","robots":{"index":true},"advancedRobots":{"max-snippet":"-1","max-video-preview":"-1","max-image-preview":"large"},"facebookTitle":"","facebookDescription":"","facebookImage":"","facebookImageID":""}}},"tocTitle":"Table of Contents","tocExcludeHeadings":[],"listStyle":"ul"},"_links":{"self":[{"href":"https:\/\/aactofloveadoptions.com\/wp-json\/wp\/v2\/pages\/27283","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/aactofloveadoptions.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/aactofloveadoptions.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/aactofloveadoptions.com\/wp-json\/wp\/v2\/users\/20"}],"replies":[{"embeddable":true,"href":"https:\/\/aactofloveadoptions.com\/wp-json\/wp\/v2\/comments?post=27283"}],"version-history":[{"count":0,"href":"https:\/\/aactofloveadoptions.com\/wp-json\/wp\/v2\/pages\/27283\/revisions"}],"wp:attachment":[{"href":"https:\/\/aactofloveadoptions.com\/wp-json\/wp\/v2\/media?parent=27283"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}