Free Consent by Child (Age 10 or Over) to Adoption - Hawaii


File Size: 69.7 kB
Pages: 1
Date: June 20, 2002
File Format: PDF
State: Hawaii
Category: Court Forms - State
Author: ruth
Word Count: 204 Words, 1,144 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.state.hi.us/jud/Oahu/Family/Consent.pdf

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Preview Consent by Child (Age 10 or Over) to Adoption
FAMILY COURT FIRST CIRCUIT STATE OF HAWAI`I
Child's Legal Name

CONSENT BY CHILD (AGE 10 OR OVER) TO ADOPTION
Child's Birthdate

CASE NUMBER FC-A NO.

Child's Birth Place

Name of Proposed Adoptive Parent(s)

Relationship to Child

I, the above-named child, being

years old, do consent to my adoption by the

above-named person(s) who I believe will be a good parent(s) and able and willing to give me a proper home and education. I understand that once I am adopted I shall no longer be the legal child of my present legal [ ]mother [ ]father [ ]parents, but will become the child of the above-named person(s) as if I had been born to him, her or them. (In Stepparent Adoptions) However, I understand that even after the adoption is granted, I shall still be the child of my [ ]father [ ]mother, who is now married to the person wanting to adopt me. Because I believe the proposed adoption is in my best interest, I request that the Court grant this adoption and change my name to .

DATE

SIGNATURE OF CHILD

SOCIAL SECURITY NUMBER

DATE

SIGNATURE OF WITNESS

PRINT NAME OF WITNESS

08/07/01

CONSENT OF CHILD (AGE 10 OR OVER) TO ADOPTION