ADOPT-210 Adoption Agreement

ADOPT-210
Adoption Agreement
Your name (adopting parent):
Relationship to child:
Address (skip this if you have a lawyer):
Street:
State: Zip:
City:
Child’s name before adoption:
Age:
Date of birth:
I am the child listed in and I agree to the adoption. (Sign at the hearing in front of the judge. Not required in the
case of a tribal customary adoptio n un der We lf. & Inst. Code, § 366 .2 4.)
Signature of child (child must sign at hearing
if 12 or older; optional if child is under 12)
If there is only one adopting parent, read and sign below. Sign at the hearing in front of the judge.
a. I am the adopting parent listed in , and I agree that the child will:
(1) Be adopted and treated as my legal child (Fam. Code § 8612(b) ) and
(2) Have the same rights as a natural child born to me, including the right to inherit my estate.
Date:
Signature of adopting parent (sign at hearing)
Type or print your name
ADOPT-210, Page 1 of 2
Judicial Council of California, www.courts.ca.gov
Revised January 1, 2011, Mandatory Form
Family Code, §§ 8602–8606, 8612, 9003; Welfare and
Institutions Code, § 366.24; Cal. Rules of Court, rule 5.730
Adoption Agreement
Child’s name after adoption:
b. I am married to, or the registered domestic partner of, the adopting parent listed in , and I agree to his or her
adoption of the child.
a.
b.
Date:
Type or print your name
Lawyer (if any): (Name, address, telephone number, and State
Bar number):
Telephone number:
Date:
Signature of spouse or registered domestic partner
Type or print your name
()
Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of Californ ia, County of
Case Number:
Fill in case number if known:
1
2
2
3
4
1
1
(may be signed before hearing)
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seeing what you entered on
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end of the form when finished.
Page 1/2
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ADOPT-210 Adoption Agreement PDF

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