PARENTAL CONSENT TO ADOPTION
We, ________________________________ and
______________________________, the parents of _____________________________, a
_______ (Male/Female) child born
to us on ___________ (Date)
hereby consent to _______ (His/Her)
adoption by _____________________________ and ___________________________,
husband and wife, who currently reside at _________________________________ (Address).
In witness whereof, we have signed this instrument
at ___________________________ (Place of
Execution) on ____________ (Date).
_________________________________________
Signature of Parent
_________________________________________
Signatures of Parent
This document was hereby signed in the presence of
the following:
______________________________________ __________
Signature Date
______________________________________ __________
Signature Date
