Your name(s) (adopting parent(s)):
a.
b.
Relationship to child:
Address (skip this if you have a lawyer):
City:
State:
Zip:
Telephone number:
I am the child listed in and I agree to the adoption. (Not required in the case of a tribal customary adoption
under Welf. & Inst. Code, § 366.24.)
1
4
If there is only one adopting parent, read and sign below.
Lawyer (if any): (Name, address, telephone numbers, e-mail address,
and State Bar number):
1
2
3
Adoption Agreement
ADOPT-210
ADOPT-210, Page 1 of 3
Adoption Agreement
Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of California, County of
Court fills in case number when form is filed.
Case Number:
Child’s name after adoption:
Child’s name before adoption:
Date of birth: Age:
2
Date:
}
Signature of adopting parent
Type or print your name
Date:
Type or print your name
Signature of child (child must sign if 12 or older;
optional if child is under 12)
}
I am the adopting parent listed in , and I agree that the child will:a.
(1)
(2)
Be adopted and treated as my legal child (Fam. Code, § 8612(b)) and
Have the same rights as a natural child born to me, including the right to inherit my estate.
Judicial Council of California, www.courts.ca.gov
Revised January 1, 2016, Mandatory Form
Family Code, §§ 8602–8606, 8612, 9000.5, 9003;
Welfare and Institutions Code, § 366.24;
Cal. Rules of Court, rule 5.730
Adoptions usually require a hearing where most signatures on this form must be completed in front of a judge.
Item 4(b) may be signed before the hearing.
If this is a stepparent adoption to confirm parentage involving a spouse or registered domestic partner who gave
birth to the child during the union, usually no hearing is required and you may sign this form in front of a proper
witness. See paragraph 8(a) for instructions on having your signature properly witnessed. If the court orders a
hearing in this case, you must sign this form at the hearing in front of the judge.
All other signatures must be signed at a hearing, in front of a judge, unless waived by the judge for good cause.
Signing this forms:
I agree to the other parent’s adoption of the child.
Date:
Type or print your name
Signature of adopting parent
}
Have the same rights and duties stated in the tribal customary adoption order dated
Be adopted and treated as my/our legal child (Fam. Code, § 8612(b)) and
b.
a.
1
If this is a tribal customary adoption, read and sign below. I/we are the adopting parents listed in , and I/we
agree that the child will:
For stepparent adoptions only:
If you are the legal parent of the child listed in , read and sign below.
I am the legal parent of the child and am the spouse or registered domestic partner of the adopting parent listed in
, and I agree to his or her adoption of my child.
If two adopting parents, we agree to the other parent’s adoption of the child.
}
Signature of adopting parent
Type or print your name
Date:
attached).
Date:
}
Signature of legal parent
Type or print your name
Date:
Type or print your name
Signature of adopting parent
}
I agree to the other parent’s adoption of the child.
7
6
Your name:
Case Number:
ADOPT-210,
Page 2 of 3
Adoption Agreement
5
Revised January 1, 2016
If there are two adopting parents, read and sign below. We are the adopting parents listed in , and we agree that
the child will:
1
a.
b.
Be adopted and treated as our legal child (Fam. Code, § 8612(b)) and
Have the same rights as a natural child born to us, including the right to inherit our estate.
}
Signature of adopting parent
Type or print your name
Date:
(copy
2
1
Date:
Type or print your name
Signature of spouse or registered domestic partner
(may be signed before hearing)
}
b. I am married to, or the registered domestic partner of, the adopting parent listed in , and I am not a party to
this adoption. I agree to his or her adoption of the child.
1
ADOPT-210, Page 3 of 3
Adoption Agreement
Revised January 1, 2016
Your name:
Case Number:
This form was signed outside of a hearing. (Select this option only for a stepparent adoption involving a
spouse or partner who gave birth to the child during the union, where the court did not order a hearing for
good cause.)
a.
This form was signed in California
notary public (the notary acknowledgment is attached)
other person authorized to perform notarial acts (proof of notarization is attached)
authorized representative of an adoption agency that is licensed in the state or country where this
form was signed
(3)
This form was signed in: (county)
This form was signed in front of the following type of witness (check one):
(2)
This form was signed outside of California
(1)
This form was signed in front of the following type of witness (check one):
notary public (the notary acknowledgment is attached)
court clerk
probation officer
qualified court investigator
authorized representative of a licensed adoption agency
county welfare department staff member
(state) (country)
Name of witness:
Date:
Agency witness works for (if applicable):
Date:
Judge (or Judicial Officer)
Executed (check one):
8
This form was signed at a hearing in front of a judicial officer. (The judge will date and sign the form below.)
b.
Witness signature:
Witness information
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