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Back to Forms for 'Adoptions'.





Agreement made on _________ (Date) between ___________________________, who resides at ______________________________________ (Address), here referred to as adopting parent, and _________________________________, who resides at ______________________________________ (Address), here referred to as adoptee.


Adopting parent intends to present to the ______________________________ (Court), a petition in which __________ (He or She) will seek a decree approving the adoption of adoptee.


The parties agree to assume toward each other the legal relation of parent and child. Adopting parent will henceforth treat adoptee as if _______ (He or She) were the natural child of adopting parent.  Adoptee will henceforth treat adopting parent as ___________ (His or Her) natural parent.  Both parties will have all the rights and be subject to all the duties and responsibilities of the relation of parent and child.


_______________ (If adopting parent is married, add: The spouse of adopting parent, ______________________, has executed a written consent to the adoption agreed to in this instrument, and a copy of that consent is attached and incorporated by reference.)


In witness whereof, the parties have executed this agreement at ___________________ (Designate Place of Execution) the day and year first above written.


__________________________________                         ____________

Signature                                                                               Date


__________________________________                         ____________

Signature                                                                               Date

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