Fill and Sign the California Adoption Agreement Form

Clerk stamps date here when form is filed. ADOPT-210 Adoption Agreement 1 1 Your names (adopting parents): a. ––––– b. ––––– Relationship to child: ––––– Address (skip this if you have a lawyer): Street: ––––– City: ––––– State: ––––– Zip: ––––– Fill in court name and street address: Telephone number: ( –––– ) ––––– Superior Court of California, County of Lawyer (if any): (Name, address, phone number, and ––––– State Bar number): ––––– ––––– ––––– ––––– ––––– Fill in case number: 2 Child’s name: Case Number: Before adoption : ––––– ––––– After adoption: ––––– Date of birth: ––––– Age: ––––– 3 I am the child listed in 2 and I agree to the adoption. Sign at the hearing in front of the judge Date: ––––– ––––– Type or print your name Signature of Child (child must sign at hearing if 12 or older; optional if child is under 12) 4 If only one adopting parent, read and sign below: a. I am the adopting parent listed in 1 , 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 of mine, including the right of inheritance. Date: ––––– ––––– Type or print your name Signature of Adopting Parent (sign at hearing) b. I am married to, or the registered domestic partner of, the adopting parent listed in 1, and I agree to his or her adoption of the child Date: ––––– ––––– Type or print your name Signature of Spouse or State-Registered Domestic Partner Judicial Council of California, Adoption Agreement ADOPT-210, Page 1 of 2 Revised July 1, 2007, Mandatory Form --------- à Family Code, §§ 8602–8606, 8612, 9003; Cal. Rules of Court, rule 5.730 electronic form ã 2005-7 WWW.LawCA.co m Law Publishers Case Number: ––––– Your name: ––––– 5 If there are two adopting parents, read and sign below. Sign at the hearing in front of the judge.: We are the adopting parents listed in 1 , and we agree that the child will: (1) Be adopted and treated as our legal child (Fam. Code, § 8612(b)); (2) Have the same rights as a natural child of ours, including the right of inheritance; I am in agreement with the other parent’s adoption of the child. Date: ––––– ––––– Type or print your name Signature of Adopting Parent (sign at hearing) and I agree to the other parent’s adoption of the child. Date: ––––– ––––– Type or print your name Signature of Adopting Parent (sign at hearing) 6 For stepparent adoptions only: If you are the legal parent of the child listed in 2 , read and sign below: I am the legal parent of the child and the spouse or state-registered domestic partner of the adopting parent listed in 1 , and I agree to his or her adoption of my child. Date: ––––– ––––– Type or print your name Signature of Legal Parent (sign at hearing) 7 Executed: Date: ––––– Judge (or Judicial Officer) Revised July 1, 2007 Adoption Agreement ADOPT-210, Page 2 of 2