Adoption Agreement

Adoption Agreement between Adult and Adopting Parent

Agreement made on the , between

of

, referred to herein as Adoptive Parent, and

of

, referred to herein as Adoptee.

Whereas, Adopting Parent, years of age, desires to adopt Adoptee;

and

Whereas, Adoptee, years of age, desires to be adopted by Adopting Parent; and

Whereas, the parties desire to assume toward each other the legal relationship of parent and child, and to have all the rights and be subject to all of the duties and responsibilities of that relationship; and

Whereas, Adopting Parent intends to present to of , a Petition in which he will seek a decree approving the adoption of Adoptee;

Now, therefore, for and in consideration of the mutual covenants contained in this agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows:

1. The parties agree to assume toward each other the legal relation of parent and child. Adopting Parent will henceforth treat adoptee as if he were the natural child of adopting parent. Adoptee will henceforth treat adopting parent as his 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.

2. The parties will file a Petition for Adoption in of , requesting that the court approve this Agreement and enter a decree that Adoptee is the child of Adopting Parent, and that Adoptee bear the name of Adopting Parent.

WITNESS our signatures as of the day and date first above stated.