Canadian Adioption Registration

User Name* I am working on a database so you can make changes to your registration if you need to in the future. PLEASE keep your email address up to date.
*Please choose a user name
Password*
Please choose a password that you will remember
Confirm
Password
Confirm password
Birth Name
if known
First
Last
Your Email
Childs Gender

Male Female

Place of Birth
Town & Province

Hospital Name
Birth Date
MM DD YYYY

Are you an adoptee?
Yes
No

Are you a birth parent or relative?
Yes
No

After clicking the submit button click on the payment button to go to the payment page. There is a $5.00 fee for registration. The fee is US because that is where I am. The payment will go through my stores secure check out site, the site will say Berber and Fleece.




Goods and services provided by Berber And Fleece (WV, United States). Sold by 2CheckOut.com Inc. (Ohio, USA).