Register at Adoption Database

Registration Form

You may complete this registration form to register your search in the Adoption Database Registry. Registrations submitted without proper contact info or without payment will NOT be posted.

Registration Fee is $10

We are now having to charge a $10 Registration fee to register your search in our Adoption Registry. We take each inquiry very seriously and always try to call our Registrants so it is important that we be able to reach you. We do not rely on email alone since we cannot trust that you read all your email, especially if it should go into your spam folder. If your contact info is not current, it inflicts additional costs to us to locate you again.

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Registration # (will be assigned)

Search Status

I am*

Select One

I am searching to find *

Select One

Your personal information will be held in confidence and will only be used by the Registry Administrator to reach you in case of a possible match.

Email*

example@example.com

Re-enter Email*

example@example.com

Facebook

If you have a Facebook account, please provide a link to your Facebook account or the email address you use for your account in case we have to compare your picture to someone who inquires to see if there is a family resemblance.

Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Country

Phone Number*

Area CodePhone Number

Alternate Phone Number*

Area CodePhone Number

Name of Friend or Relative to contact if we can't reach you*

Friend/Relative Complete Address

Friend or Relative Telephone Number*

Area CodePhone Number

Friend or Relative Email Address

example@example.com

Friend or Relative Relationship to you

Only Selective info below will be posted in the Adoption Database Registry

Adoptees Date of Birth

Date

If unsure of date, please insert range or explain here

Adoptees Gender

Select One

Adoptees Race

Adoptees First Name at time of Birth

Adoptees Middle Name at time of Birth

Adoptees Last Name at time of Birth

Adoptees City of Birth

Adoptees State of Birth

Adoptees County, Parish or Province of Birth

Country

Birthmothers First Name

Birthmothers Middle Name

Birthmothers MAIDEN Name

Birthmothers Last Name at time of Birth

Birthmothers Age at time of Birth

Birthmothers DOB, if known

Birthmothers City & State of Residence at time of Birth

Birthmother Occupation at time of Birth

Birthfathers First Name

Birthfathers Middle Name

Birthfathers Last Name

Birthfathers Age at time of Birth

Birthfathers DOB, if known

Birthfathers City & State of Residence at time of Birth

Birthfathers Occupation

Birthmother & Birthfathers Marital Status

(Married, Unmarried, Divorced - Please explain

Are you aware if Adoptee had older/younger Biological siblings (if so, give details-DOB or ages, Gender)

Hospital of Birth

Doctor

Adoption Agency

Adoptees Age when Relinquished to Adoptive Parents

Indicate weeks, months or years of age

If private adoption, name of Attorney or Firm

County, Parish or Province Adoption took place

City Adoption took place

State Adoption took place

Adoptees Name and Adoptive Parents are NOT posted.

Adoptees First Name after adoption

Adoptees Middle Name after adoption

Adoptees Last Name after adoption

Adoptive Mothers First & Last Name

Adoptive Mothers MAIDEN Name

Adoptive Fathers First & Last Name

Are you aware if Adoptee had older/younger Adoptive siblings (if so, give details-Ages, Gender)

Date Adoption was Finalized, if known

Originial Birth Certificate # (if known)

Amended Birth Certificate #

Limited Information is open for public viewing and is easily pulled up in various search engines. If someone inquires on your registration, do you give the Registry Administrator your permission to provide your email address to the inquirer so they may contact you directly if we cannot reach you by telephone?

Have you applied for Non ID Info from Adoption Agency or State Vital Records?

Have you requested or received your ORIGINAL birth certificate?

You are invited to join our free Adoption Database Search & Support Group to exchange search ideas with other Triad Members and to receive assistance from many Search Angels within our Group.

If you replied "yes" to join our Adoption Group, please select one of the mail options as to how you would like to receive email from other Group members. We currently have over 9,500 members, so our Group can be very active. If you don't check your mail box each day, we advise you to select Digest delivery version or you may set up a Google.com account to read the messages at the Group Site.

How were you referred to Adoption Database?

Select One

Have you had your DNA tested, and if so, please list which company or companies where it is on file. Also provide GEDMatch #, if applicable.

OPTIONAL: Adoption Database has teamed with ABC Producers of Extreme Makeover who are piloting the reality show "Find My Family" about search and reunion, featuring families reuniting after years of separation due to an adoption. There is no cost involved for their assistance, except your agreement to film and air your search and reunion on their upcoming series if all parties are in agreement to do so.

Comments (capable of lengthy comments)

By submitting this Registration Form, I hereby agree that I take full responsibility for publicly posting my search information in the Adoption Database Registry, and furthermore shall not hold the Adoption Database, nor any of its associates liable in any way.

To Submit your Registration and continue to payment screen to pay the one-time Registration Fee, click the Red Button below which will take you to OUR Paypal account. You are NOT required to have a Paypal account and can pay with any debit or credit card.

USDRegistration Fee