 |
Adoptee |
 |
|
| First Name |
Elise |
| Middle Name |
Marie |
| Last Name |
Writer |
| Birth First Name |
Elise |
| Birth Middle Name |
Marie |
| Birth Lastname |
Writer |
| Birth Date |
Jan 29, 1982 |
| Birth Place |
Washington |
| Gender |
female |
| Height |
short |
| Hair Color |
blonde |
| Eye Color |
hazel |
| Handicap |
none |
| Handicap |
none |
| Race |
None |
| Religion |
Other |
| Occupation |
Server |
| Education |
H.S. Diploma
3 years college education |
| Married |
no |
| Brothers |
3 brothers. 1 Adopted, 2 are my adopted parents biological children |
| Military |
no |
| Other Info |
My adoption was a pre-arranged and closed adoption through Catholic Family. |
|
|
|
|
Birthmother |
|
|
| Birth Date |
NA |
| Handicap |
none |
| Handicap |
none |
| Race |
Unknown |
| Married at Birth |
no |
| Married at Adoption |
no |
| Age at Adoption |
16 |
| Military |
no |
| Other Information |
I have very little information about my mother. She was 5'4. |
|
|
|
|
Birthfather |
|
|
| Birth Date |
NA |
| Handicap |
none |
| Handicap |
none |
| Race |
Unknown |
| Married at Birth |
no |
| Married at Adoption |
no |
| Age at Adoption |
21 |
| Military |
no |
| Other Information |
I know very little about my father....I think he was 5'6. My adoption was prearranged and through Catholic Family |
|
|
|
|
Other |
|
|
Relation
to Adoptee |
on Birth Certificate |
| First Name |
Roy |
| Middle Name |
S |
| Last Name |
Preston D.O. |
| Birth Date |
NA |
| Gender |
male |
| Handicap |
none |
| Handicap |
none |
| Race |
Unknown |
| Military |
no |
| Other Information |
Herbert L. Cahn, M.D |
|
|
|
