MARRIAGE BETWEEN ADOPTING AND NATURAL PARENTS
An agreement was entered into on __________ (Date), between _______________, herein
referred to as adopting parent, and ________________ (His Wife/Her Husband), herein referred to as natural
parent. (If natural parent is wife and previously married, add) Natural
parent's former married name was _______________________.
The above-named adopting parent desires to formally
adopt, pursuant to the legal statutes governing adoption in
_____________________________________________ (State/Commonwealth),
________________________, minor child of the above-named natural parent, and to
regard and treat the child in all respects as __________ (His/Her) natural child.
In consideration of this adoption agreement and
other good and valuable consideration, it is hereby agreed as follows:
1. The
adopting parent shall, and hereby does, formally adopt ___________________ (Child), and promises to treat and regard
said child in all respects as _______ (His/Her)
own natural child, bestowing on the child the guarantee of all rights,
benefits, and privileges incident to the parent-child relationship, and hereby
undertakes to fulfill _________ (His/Her)
responsibilities and duties of a parent in respect to the child.
2. The
natural parent hereby consents to the formal adoption of _________________
(Child) by
__________________________ (Name),
__________ (His/Her) spouse. The
natural parent shall refrain from embarking on any course of action that will
interfere with the rights, duties, and privileges of said child or of the
adopting parents rights, duties, and privileges pertaining to the child.
3. The child
henceforth shall be raised in the _____________________________ faith.
4.
___________________________________________________________________ (If
appropriate, add: The name of the child shall be changed to.)
The following facts are hereby affirmed by the
parties to the adoption:
1. The
child, ______________________________, was born on ________ (Date).
2. The
adopting parent and natural parent were married on ___________ (Date), from which date the natural parent
and child have resided on a continuous basis with the adopting parent.
In witness whereof, the parties hereto have signed
this agreement at _______________
(Place of Execution) on
___________________ (Date).
__________________________________ __________________
Signature of Adopting Parent Date
__________________________________ __________________
Signature of Natural Parent Date
This document was hereby signed in the presence of
the following:
__________________________________ __________________
Signature Date
__________________________________ __________________
Signature Date