ADOPT-210 Adoption Agreement
1 Your name (adopting parent): a. b. Relationship to child: Address (skip this if you have a lawyer): Street:
Clerk stamps date here when form is filed.
Fill in court name and street address:
City:
State:
Zip:
Superior Court of California, County of
) Telephone number: ( Lawyer (if any): (Name, address, telephone number, and State Bar number):
Fill in case number if known:
Case Number:
2
Child's name before adoption: Child's name 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 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 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 born to me, including the right to inherit my estate.
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 registered domestic partner (may be signed before hearing)
Judicial Council of California, www.courtinfo.ca.gov Revised July 1, 2007, Mandatory Form Family Code, §§ 86028606, 8612, 9003; Cal. Rules of Court, rule 5.730
Adoption Agreement
ADOPT-210, Page 1 of 2
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: (a) Be adopted and treated as our legal child (Fam. Code, § 8612(b)) and (b) Have the same rights as a natural child born to us, including the right to inherit our estate. 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)
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)
6
For stepparent adoptions only: If you are the legal parent of the child listed in 2 , read and sign below. Sign at the hearing in front of the judge. I am the legal parent of the child and am the spouse or 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