Birth Father'S Adoption Plan Page 5

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CONTACT WITH THE ADOPTIVE FAMILY OR CHILD AFTER ADOPTION
What are your hopes and wishes for the child’s future?
__________________________________________________________________________
__________________________________________________________________________
Do you want pictures/letters from the family after the adoption? Yes
No
U
ndecided
If yes, how often and for for how long?
Do you want other or additional contact with the child after adoption?
If yes, describe _______________________________________________________
____________________________________________________________________
Is there any additional information about yourself or any member of your family that
you would like the adoptive family and/or your child to know, or any characteristics or
preferences you would like to see in an adoptive family?
What is your current feeling about being contacted by the child when he/she is an adult?
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Do you authorize your attorney and/or us to disclose your name, address and phone
number to the adoptive parents?
Please initial: Yes ____
No ____
The above information is true to the best of my knowledge and belief
_____________________________________
______________
Signature
Date
5

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