Origins Canada Adoption Search and Reunion Registry

Search Information Submission Form

Users are responsible for the content that they submit. Please only submit information that you want to be publicly available.

Required fields are denoted with *

Basic Information About You
My First Name:
My Last Name:
I Am A(n): *
Searching For My: *
Email Address: * Note: To prevent the possibility of spam emails, please do not use your primary email address.
Adoptee Information
Adoptee's Date of Birth:
First Name At Birth:
Surname At Birth:
Adoptive First Name:
Adoptive Surname:
Adoptee's Place Of Birth
City or Region:
Province or Territory: *
Hospital or Charity Facility:
Information About The Parents
Natural Mother's First Name:
Natural Mother's Surname:
Natural Father's First Name:
Natural Father's Surname:
Other Information Please keep your submissions brief, to the point, and immediately relevant to your search.
Note: 500 Characters Maximum.

You have 500 characters remaining for your information.

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