National Adoption Registry : Update Registration

Update Your Registration

In order to protect the privacy of our registrants, we do not make the contents of our database available for updating online. Instead, we ask that you complete the registration form below, entering only the information you wish to update. You must provide your name, daytime phone and email address in order for us to process your request.

If you are unsure of the information you provided when you first registered, please call us at 1-800-875-4347 and ask for a copy of your record. We will send it to the email address you originally provided.

Registrant Information
* required information

Name:	* Full Name
Address:	Street Address

	City, State, Zip
	Country (if not U.S.)
Phone:	* Day, Evening

Email:	*
You are the:

Adoptee Information

Name at Birth:	First, Middle, Last
Adopted Name:	First, Middle, Last
Name Comments:
Date of Birth:	Month, Day, Year
Gender:
Race:
Hospital Name:
Hospital Address:	Street Address City, State, Zip Country (if not U.S.)
Doctor:	Full Name
Doctor Comments:

Birthmother Information

Name:	First, Middle, Last
Name Comments:
Date of Birth:
Birthplace:	City, State
Race:
Marital Status at Birth:
Other Comments:

Birthfather Information

Name:	First, Middle, Last
Name Comments:
Date of Birth:
Birthplace:	City, State
Race:
Other Comments:

Placement Agency Information

Agency Name:
Agency Address:	Street Address City, State, Zip County Country (if not U.S.)
Agency Phone:
Case Worker:	Full Name
Other Comments:
General Comments