Your current contact details
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  9. Can we leave a message identifying Jigsaw at these phone numbers? (required)
  10. Yes No
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Your details at time of child's birth
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  3. Have you ever been married to the birth mother? (required)
  4. Yes No
  5. Did you relinquish more than one child? (required)
  6. Yes No
  7. If yes, complete this form for the first child, and then repeat the process for any other child(ren).
Birth mother's Details at the time of pregnancy/birth (leave blank if not known)
Child's BIRTH Details (leave blank if not known)
Adoption Documents
  1. Have you obtained your child's adoption records - it has their adoptive name on it? (required)
  2. Yes No Not sure
  3. If no, or you have lost them and you consented to the adoption we recommend that you apply for your documents whether or not you want to search now. It usually takes many months to obtain them from the relevant Government authority. If your name is not on the consent documents, birth father's rights to information differ in each State, phone us on (08) 9384 0222 or contact the relevant State authority for more information.
Child's ADOPTIVE Details (leave blank if not known)
Other Information
  1. If you have a partner/spouse does he/she know of this child?
  2. Yes No Not sure
  3. If you have had other children, does he/she/they know of this child?
  4. Yes No Not sure
  5. Have you had contact with any member of the adoptive family?
  6. No Yes
Other Agencies
  1. Are you registered/involved with another agency? (required)
  2. No Not sure Yes
  3. (eg Vanish, PARC, PASS, PASQ, QLD Jigsaw, ARMS, ARCS)
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About Us
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West Australian Adoptions
  1. Do you want us to send you the Governments application form to apply for your documents? -
  2. yes no
  3. Note we do not have forms for other states/countries, go to section how do I begin to obtain details of your state.
What happens if there is a match?
  1. We cannot be certain that there is a match until we have seen documents. If there is a strong possibility of a match, we will endeavour to contact both parties and ask your wishes.
  2. We will NOT give your contact details out without your consent at the time of a match. Registration does not mean you want to have direct contact.
  3. If we cannot locate one of the parties e.g. if contact details are out of date (note, our register has been operating for many years) we will let you know and you can decide if and how to proceed e.g. you may want us to undertake a search.
Privacy Questions
  1. I understand and agree that both parties to a match will be informed (if contact details are current) of a possible match (required)
  2. Yes No
  3. If No, you will need to contact Jigsaw and explain the issues for you
  4. I understand that it is my responsibility to keep Jigsaw informed of a change of address (required)
  5. Yes No
Who can we tell?
  1. If the birth mother also registers, can we tell her of your registration? (required)
  2. Yes No
  3. If the adoptive parents register, can we tell them of your registration? (required)
  4. Yes No
  5. We want to assist Government funded and/or approved agencies with their searches, if an agency contacts us, can we tell them that you are on our contact register? (required)
  6. Yes No
  7. Can we give an agency your contact details (we do not give your details to another party to the adoption) (required)
  8. Yes No
Other information
  1. Is there anything else that we should know? (required)
  2. Yes No
Search Services
  1. If there is no match it does not mean that your child does not want contact – many people do not know about the register. You may want to consider using our search and mediation services.
Intermediary Services
  1. We believe an intermediary or mediation service can help both parties. Many birth parents have never spoken about the adoption and it can be very helpful to have a neutral person who understands adoption to speak with. If you want to use our mediation services one of the parties will need to take out a mediation package (see join jigsaw for current costs). We will require proof of your involvement in adoption.
Submit Form
  1. Click the Submit button below to proceed to Paypal and complete your registration. You can pay by credit card if you do not have or wish to use a Paypal account.