| G'S Request Form Instructions page #1 of 1 |
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! PLEASE READ !
Get better search responses from Search Angels
by filling out the form correctly and completely.
If you do not know an answer just put a "?"
Do not put unknown or other information.
If you think you know put answer and a ? behind it.
If you make a mistake, just backspace and change info.
Do Not Click on Enter, this will send your form before you have completed it.
Please do not use all ((CAPS)) on the form or in emails!
(It is like YELLING in an email and is hard to read on a form)
((Forms submitted in all capital letters will not be posted.))
Sorry we don't post any forms without contact info
anymore Searchs can take years add if e-mail don't work
we need to be able to get in touch with you.
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Please add our e-mail addresses to your address book.
If you have a spam blocker program,
please be sure to add our e-mail to your friends list
gary@gsadoptionregistry.com
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Any Search Angels that is listed for your state so our e-mails will get to you.
For legal purposes, registrations by searching adoptees, or birth parents searching for adoptees
born after this date in 1992 will not have their information posted on the registry.
Your registration will not be posted if a birth year cannot be provided.
To do either one of the above would be the equivalent of performing a minor search
which is against the law and in the adoption community it is viewed as being
morally and ethically unsound.
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| G'S Request Form Instructions |
| For Form go to the bottom of page click on link |
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Contact Persons Name:
Contact Persons Address:
Contact Persons City:
Contact Persons State:
Contact Persons Zip:
Contact Persons Home Phone:
Contact Persons Cell Phone:
Contact Email Address: |
** We do not publish this information on the website! **
This is the information for the contact person regarding this search case. Please keep this information up to date.
We have many potential matches and have incorrect contact information so have no way to contact the person who originated the search to let them know of a possible match.
Please remember to note in your books the sites you have posted your search on so you can advise when your contact information changes. |
| #1 I give permission for you to send all information to Search Angels: |
Type in No or Yes. (If you leave blank we will put Yes) |
| #2 I give permission for Search Angels to make inquiries on my behalf: |
Type in No or Yes.
Some Search Angels go the extra mile and make phone calls, send emails or letters to get more information to help make a match. If you do not want these investigative attempts made type "No". If you grant permission for them to do so, Type "Yes". (If you leave blank we will put Yes) |
| #3 I give Search Angels permission to contact me with questions or matches: |
Type in No or Yes. (If you leave blank we will put Yes) |
| #4 I release the registry, and any associated with it, of any responsibility or liability if a match is made: |
Type in Yes Only.
If "No" - Stop. We will not post your form or do any searching. Your inquiry will be deleted. Not all matches turn out to be a positive experience. We are not responsible for the outcome of your search, or how that will affect your life, or the lives of those around you. There are many positive outcomes. We have no control over any of it.
"The registry" is G'S Adoption Registry. (If you leave blank we will put Yes)
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| #5 Submitting this form allows the registry to post the search info. on this site. My contact information will not be posted. |
Type in Yes Only.
If "No" - Stop. We will not post your form or do any searching. Your inquiry will be deleted.
If you type in "Yes - Understand your Email will be posted and you Will get Spam. Please Please Please get a dedicated Email address Just for your Searching Purposes. We cannot stress this enough. Everyone associated with the registry gets Spam from the site - from Search Angels to the host. It cannot be avoided. We get the same Spam you will get. We are willing to sort thru and delete the Spam and Junk Mail to help you. It is worth it to us to help you find your family. (If you leave blank we will put Yes) |
| Adoptee Birth Date: |
The date the Adoptee was born (or even close like ?-?-1978 to ?-?-1980
** Must Be a Dash not a Slash **
Search engines will only find dates formatted like this: 1-1-1990
(Not acceptable) are 1/1/1990 or 01.01.1990 or 01/01/1990 or 1/1/90 or 01/01/90 or 01-01-1990 or 01-01-90 or January/01/1990 or Jan/01/1990 or January-1-1990 or Jan-1-1990 or Jan-1-90
Acceptable format is M-D-Year (1-1-1990)
M= Month
D= Day
Year = all 4 numbers in the year.
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| Adoptee Gender: |
This is the gender ( Female or Male ) of the Adoptee |
| Adoptee Birth Race: |
Be as specific as you can. Vietnamese vs Asian is helpful. Caucasian (White), Black, Hispanic, Caucasian / Black, Puerto Rican / Asian. etc. |
| Name given to Adoptee by Birth Parent(s): |
This is the Birth Name of the Adoptee. Not the Adopted Name or Adoptee Name: Many times the Adoptee will have been given a name at birth by the Birth Family. This is the "Birth Name". You may not know what it is or the Adoptee may not have been given one. |
| Adoptee Birth City: |
This is the City or Town the Adoptee was born in |
| Adoptee Birth County: |
This is the County the Adoptee was born in. This is one of the places some of the records would be kept on the adoption.
What Is a County?
Counties are extensions of the state government. Their primary function is the implementation of state policy at a regional level. Counties provide certain services – health1, welfare, deed recordation and other records, and criminal justice – to everyone within a county, whether the service is being provided in an area of unincorporated county land or incorporated city land. Counties also
make land use decisions for unincorporated land within the county. |
| Adoptee Birth State: |
This is the State the Adoptee was born in. This is one of the places some of the records would be kept on the adoption. |
| Adoptee Birth Country: |
This is the Country (USA, Mexico, China) the adoption took place.
This is one of the places some of the records would be kept on the adoption. |
| Adoptee Birth Mothers Name: |
This is the Birth Mothers Name. This is who gave birth to the Adoptee.
This may not have been her maiden name |
| Adoptee Birth Mothers Maiden Name: |
This is the Birth Mothers Maiden Name ( Her last name before she may have married). Again, this is the woman who gave birth to the Adoptee. |
| Adoptee Birth Mothers Race: |
This is the Birth Mothers Race. Caucasian (White), Black, Hispanic, Asian, etc. |
| Adoptee Birth Fathers Name: |
This is the Birth Fathers Name. This is who helped to create the Adoptee.
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| Adoptee Birth Fathers Race: |
This is the Birth Fathers Race. Caucasian (White), Black, Hispanic, Asian, etc. |
| Adoptee Birth Hospital: |
This is the hospital the Adoptee was born in. |
| Adoption Agency or Attorney: |
This is the Agency or Attorney ( or both if applicable) who handled the adoption. |
| Age of Adoptee when Adopted: |
This is the age of the Adoptee when adopted. Not all are adopted at birth. Many are adopted when they are 4 or 5 or 15. |
| Name given to Adoptee by Adoptive Parents: |
This is the name the Adoptive Parents gave to the Adoptee when they were adopted. |
City adoption took place:
County adoption took place:
State adoption took place:
Country adoption took place: |
The City, County, State and Country of adoption are where the legal papers for the adoption were signed. This is usually the first place an Adoptee lived. Many times an Adoptee is born in one County, State or Country but adopted in another. This is one of the places records are kept. |
Adoptive Mothers Name:
Adoptive Fathers Name: |
This is the name of the Mother and or Father who adopted the Adoptee.
Adoptive Parents are the parents who did not give birth to the Adoptee
but legally* adopted the person.
• In some cases there never was an adoption process, but instead a
"Foster Home or Foster Family" please note as much information
as you know in the "All other information section so we can add it to your registry |
| Adoptive Mothers Maiden Name: |
This is the Maiden name of the Mother who adopted the Adoptee.
This can be helpful with the search in situations where the Adoptive Parents have divorced, or the mother has become widowed and takes back her maiden name. Some of the Adoption Records will list the Adoptive Mothers Maiden Name. It gives our search angels a place to look. |
| Searching For: |
This is who you are trying to find. Please use any of the following:
Adoptee / Birth Parents / Birth Mother / Birth Father / Birth Family / Birth Sibling / Medical History / Genealogy Records / Other If using "other" please explain. |
| Email Address: |
This is the e-mail you want posted on the form . IMPORTANT -
It is used for people to get in touch with you if they have any information for you. AGAIN, You WILL get SPAM / Junk Mail - which is why we recommend you have a dedicated address specifically set up for your search efforts so you can filter your email.
• Again, This email will be posted on the website for people to contact you who may have information for you - remember this is a FREE service **
• Do Not Send Us Nasty E-Mails About The Spam You Are Getting - all we can do is let you know you Will get it.. we did not send it.. we are not responsible for it, we do suggest you delete it and block the sender - (but not the search angels or our site.**)
• A Yahoo or G-mail Work the best and they are Free |
| All other information: |
Tell us what you know about the adoption.
Other information that will help Search Angels if known are.
• Time of Birth.
• Birth Weight.
• Present Height.
• Attending Physician.
• Name of Placement Agency.
• Birth Mother Maternity Home.
• County / Address in which the birth mother was living during the birth.
• Birth parents marital status at time of adoption etc. (married to each other, single etc.)
• Where was the birth mother and birth father born.
• Birth dates of either or both Birth Parents.
• How old was birth mother at time of birth.
• How old was the birth father at time of birth.
• What is the color of birth parents eyes and hair.
• Adoptee birthmarks, color of eyes, hair etc.
• Siblings name(s) and/or birth dates.
• TX please include BC number.
• ? Where all have you posted.
• Any non-identifying information. You never know what information may be relevant or important to your search.
• ? Do you have your non identifying information on your birth parents from the county or agency that handled your adoption.
• Please give the Relationship of the Contact Name: to the subject of the search if not Obvious: Friend, Birth Sibling, Spouse, Search Angel.
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Date Received:
Date Posted:
Last Updated: |
• Leave Blank This is for our internal use. We will add and change this information as needed and post accordingly. |
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This can be a complicated process - We hope the above helped you.
Please help us find the person you are looking for by being as complete as possible
in your answers - if you don't know an answer - just put a question mark. "?"
Good luck with your search!
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Please remember the more info you include - the better
the chance a Search Angel can help you.
This is a example of how your completed form should look:
(Please put your info on form not mine I already have it)
Contact Name: Gary Schaefer
Contact Street Address: 1150 North River Drive
Contact City: Mankato
Contact State: Minnesota
Contact Zip: 56003
Contact Home Phone: 775-750-8333
Contact Cell Phone: 775-750-8333 Fax #507-386-7128
Contact Email Address: gary@gsadoptionregistry.com
I give permission for you to send all information to Search Angels.: Yes
I give permission for the Search Angels to make inquiries into this search on my behalf: Yes
I give Search Angels permission to contact me with questions or matches: Yes
I release the registry, and any associated with it, of any responsibility or liability if a match is made: Yes
Submitting this form allows the registry to post the search info. on this site. My contact info will not be posted: Yes
Adoptee Birth Date:12-4-1963
Adoptee Gender: Female
Adoptee Birth Race: White
Name given to Adoptee by Birth Parents: Julie Ann Olson
Adoptee Birth City: Litchfield, MN
Adoptee Birth County: Meeker County
Adoptee Birth State: Minnesota
Adoptee Birth Country: USA
Adoptee Birth Mothers Name: Marjorie Ann Olson ((FOUND)) (Deceased)
Adoptee Birth Mothers Maiden Name: Olson
Adoptee Birth Mothers Race: White
Adoptee Birth Fathers Name: ?
Adoptee Birth Fathers Race: White
Adoptee Birth Hospital: Meeker County Memorial Hospital
Adoption Agency or Attorney: Children's Home Society of Minnesota
Age of Adoptee when Adopted: 6 months
Name given to Adoptee by Adoptive Parents: Danna K Jones / Schaefer (Deceased)
City adoption took place: Mankato, MN
County adoption took place: Blue Earth County
State adoption took place: Minnesota
Country Adoption took place: USA
Adoptive Mothers Name: Doris Jones
Adoptive Mothers Maiden Name: Griffin
Adoptive Fathers Name: Jack Jones
Searching For: Birth Father, Medical History.
Email Address: gary@gsadoptionregistry.com
All Other Information: Looking for my deceased wife's birth father. Any help would be grateful. Birth Mothers name Marjorie Ann Olson 69 years old. Birth Father is 83 years old. Other Info: Adopted thru Childrens Home Society of Minnesota. Birth Certificate Number #399956. Judgement and Final Decree of Adoption 9-14-1965, File Number # 10059. Clerk of Juvenile Court, Alice M. Jenkins. Attorney for Petitioners, Yvonne B. Moore. in the Fifth Judicial District, In Probate Court. Petition no. # DPW-CW//104328. Mrs. Aileen Fridner, Caseworker, Meeker County, Welfare Agency. Mrs. Barbra L. Juliar, Supervisor Adoption Placement Unit. Date Approved, 8-31-1965. Birth Mother Marjorie Ann Olson, her Address at the time of Adoption, Route, 3, Litchfield, Minnesota. Address of Birth Mother at Birth Route 1. Litchfield Minnesota. a Farm Residence. References for the Adoptive Parents are as follows, Rev. Wilbur D. Gross, Centenary Methodist Church Mankato, Minnesota. Mrs. William Rose, 613, Marshall, Mankato, Minnesota. Mrs. Thomas Herzog 1419 Carney Avenue Mankato, Minnesota. Delivery Doctor, Dr. Donald E. Dille. The child was placed in the home of Adoptive Parents 7-3-1964. Name of Guardian is The Commissioner of Public Welfare. With attached form # DPW-549, Litchfield, Meeker County, Minnesota. Meeker County Juvenile Court Order On File-Certified Copy. Public Welfare File # 104328-Correct- # 10059. Date of Commitment, 1-29-1964. Danna's Brother Adopted, possible some time after ?-?-1965. He would have lived with his Birth Mother from the time of Birth up and til after Danna's Adoption. It's possible the Adoption was handled out of The City Litchfield / Meeker County just sometime after ?-?-1965. May be going under the name of Mike or Michael it could be his first name or middle name. (Update) Birth Brother Named Mike has been ((FOUND))
Date Received:10-12-1998
Date Posted: 10-12-1998
Last Updated: 8-3-2010
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This part of form gets posted on line
Adoptee Birth Date: 12-4-1963
Adoptee Gender: Female
Adoptee Birth Race: White
Name given to Adoptee by Birth Parents: Julie Ann Olson
Adoptee Birth City: Litchfield, MN
Adoptee Birth County: Meeker County
Adoptee Birth State: Minnesota
Adoptee Birth Country: USA
Adoptee Birth Mothers Name: Marjorie Ann Olson ((FOUND)) (Deceased)
Adoptee Birth Mothers Maiden Name: Olson
Adoptee Birth Mothers Race: White
Adoptee Birth Fathers Name: ?
Adoptee Birth Fathers Race: White
Adoptee Birth Hospital: Meeker County Memorial Hospital
Adoption Agency or Attorney: Children's Home Society of Minnesota
Age of Adoptee when Adopted: 6 months
Name given to Adoptee by Adoptive Parents: Danna K Jones / Schaefer (Deceased)
City adoption took place: Mankato, MN
County adoption took place: Blue Earth County
State adoption took place: Minnesota
Country Adoption took place: USA
Adoptive Mothers Name: Doris Jones
Adoptive Mothers Maiden Name: Griffin
Adoptive Fathers Name: Jack Jones
Searching For: Birth Father, Medical History.
Email Address: gary@gsadoptionregistry.com
All Other Information: Looking for my deceased wife's birth father. Any help would be grateful. Birth Mothers name Marjorie Ann Olson 69 years old. Birth Father is 83 years old. Other Info: Adopted thru Childrens Home Society of Minnesota. Birth Certificate Number #399956. Judgement and Final Decree of Adoption 9-14-1965, File Number # 10059. Clerk of Juvenile Court, Alice M. Jenkins. Attorney for Petitioners, Yvonne B. Moore. in the Fifth Judicial District, In Probate Court. Petition no. # DPW-CW//104328. Mrs. Aileen Fridner, Caseworker, Meeker County, Welfare Agency. Mrs. Barbra L. Juliar, Supervisor Adoption Placement Unit. Date Approved, 8-31-1965. Birth Mother Marjorie Ann Olson, her Address at the time of Adoption, Route, 3, Litchfield, Minnesota. Address of Birth Mother at Birth Route 1. Litchfield Minnesota. a Farm Residence. References for the Adoptive Parents are as follows, Rev. Wilbur D. Gross, Centenary Methodist Church Mankato, Minnesota. Mrs. William Rose, 613, Marshall, Mankato, Minnesota. Mrs. Thomas Herzog 1419 Carney Avenue Mankato, Minnesota. Delivery Doctor, Dr. Donald E. Dille. The child was placed in the home of Adoptive Parents 7-3-1964. Name of Guardian is The Commissioner of Public Welfare. With attached form # DPW-549, Litchfield, Meeker County, Minnesota. Meeker County Juvenile Court Order On File-Certified Copy. Public Welfare File # 104328-Correct- # 10059. Date of Commitment, 1-29-1964. Danna's Brother Adopted, possible some time after ?-?-1965. He would have lived with his Birth Mother from the time of Birth up and til after Danna's Adoption. It's possible the Adoption was handled out of The City Litchfield / Meeker County just sometime after ?-?-1965. May be going under the name of Mike or Michael it could be his first name or middle name. (Update) Birth Brother Named Mike has been ((FOUND))
Date Received:10-12-1998
Date Posted: 10-12-1998
Last Updated: 1-6-2010
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We send this part to Search Angels
Contact Name: Gary Schaefer
Contact Email Address: gary@gsadoptionregistry.com
I give permission for you to send all information to Search Angels.: Yes
I give permission for the Search Angels to make inquiries into this search on my behalf: Yes
I give Search Angels permission to contact me with questions or matches: Yes
I release the registry, and any associated with it, of any responsibilty or liability if a match is made: Yes
Submitting this form allows the registry to post the search info. on this site. My contact info will not be posted: Yes
Adoptee Birth Date:12-4-1963
Adoptee Gender: Female
Adoptee Birth Race: White
Name given to Adoptee by Birth Parents: Julie Ann Olson
Adoptee Birth City: Litchfield, MN
Adoptee Birth County: Meeker County
Adoptee Birth State: Minnesota
Adoptee Birth Country: USA
Adoptee Birth Mothers Name: Marjorie Ann Olson ((FOUND)) (Deceased)
Adoptee Birth Mothers Maiden Name: Olson
Adoptee Birth Mothers Race: White
Adoptee Birth Fathers Name: ?
Adoptee Birth Fathers Race: White
Adoptee Birth Hospital: Meeker County Memorial Hospital
Adoption Agency or Attorney: Children's Home Society of Minnesota
Age of Adoptee when Adopted: 6 months
Name given to Adoptee by Adoptive Parents: Danna K Jones / Schaefer (Deceased)
City adoption took place: Mankato, MN
County adoption took place: Blue Earth County
State adoption took place: Minnesota
Country Adoption took place: USA
Adoptive Mothers Name: Doris Jones
Adoptive Mothers Maiden Name: Griffin
Adoptive Fathers Name: Jack Jones
Searching For: Birth Father, Medical History.
Email Address: gary@gsadoptionregistry.com
All Other Information: Looking for my deceased wife's birth father. Any help would be grateful. Birth Mothers name Marjorie Ann Olson 69 years old. Birth Father is 83 years old. Other Info: Adopted thru Childrens Home Society of Minnesota. Birth Certificate Number #399956. Judgement and Final Decree of Adoption 9-14-1965, File Number # 10059. Clerk of Juvenile Court, Alice M. Jenkins. Attorney for Petitioners, Yvonne B. Moore. in the Fifth Judicial District, In Probate Court. Petition no. # DPW-CW//104328. Mrs. Aileen Fridner, Caseworker, Meeker County, Welfare Agency. Mrs. Barbra L. Juliar, Supervisor Adoption Placement Unit. Date Approved, 8-31-1965. Birth Mother Marjorie Ann Olson, her Address at the time of Adoption, Route, 3, Litchfield, Minnesota. Address of Birth Mother at Birth Route 1. Litchfield Minnesota. a Farm Residence. References for the Adoptive Parents are as follows, Rev. Wilbur D. Gross, Centenary Methodist Church Mankato, Minnesota. Mrs. William Rose, 613, Marshall, Mankato, Minnesota. Mrs. Thomas Herzog 1419 Carney Avenue Mankato, Minnesota. Delivery Doctor, Dr. Donald E. Dille. The child was placed in the home of Adoptive Parents 7-3-1964. Name of Guardian is The Commissioner of Public Welfare. With attached form # DPW-549, Litchfield, Meeker County, Minnesota. Meeker County Juvenile Court Order On File-Certified Copy. Public Welfare File # 104328-Correct- # 10059. Date of Commitment, 1-29-1964. Danna's Brother Adopted, possible some time after ?-?-1965. He would have lived with his Birth Mother from the time of Birth up and til after Danna's Adoption. It's possible the Adoption was handled out of The City Litchfield / Meeker County just sometime after ?-?-1965. May be going under the name of Mike or Michael it could be his first name or middle name. (Update) Birth Brother Named Mike has been ((FOUND))
Date Received:10-12-1998
Date Posted: 10-12-1998
Last Updated: 1-6-2010
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This part we keep on file just in case your e-mail does not work
Contact Name: Gary Schaefer
Contact Street Address: 1150 North River Drive
Contact City: Mankato
Contact State: Minnesota
Contact Zip: 56003
Contact Home Phone: 775-750-8333
Contact Cell Phone: 775-750-8333 Fax #507-386-7128
Contact Email Address: gary@gsadoptionregistry.com
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When you send a form in, we will post it. This can take two or three weeks, if we are behind. We will send you an e-mail, When we post it, telling you what page it is posted on. We will send you an e-mail with the top ten things to do to start searching. We will send a copy of your form to all search angels listed for your birth state. Please be sure if you have a spam blocker to have us listed, so our e-mails will make it to you. The team e-mail will have many e-mails on it. Always reply to ALL so you can get 3 or more e-mails in a row. We are not spamming you, please look at all of them and add e-mails to your friends list.
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This is a volunteer driven site. We are a non-profit company.
We appreciate you coming to this site to search for your family.
Any donations of searching time and or financial support are welcome.
PayPal gary@gsadoptionregistry.com
GS Adoption Registry www.gsadoptionregistry.com
1150 North River Drive Mankato, MN 56003
Cell 775-750-8333
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