Child Care Agreement - Child Awaiting Adoption (Page 2 of 4) in pdf

Child Care Agreement - Child Awaiting Adoption Page 2

Adoption Act 1984

Adoption Regulations 2008

Schedule 19

Section 45

Regulation 34

Child Care Agreement - child awaiting adoption

Full Name of Child

_________________________________________

Date of Birth of Child

_________________________________________

Place of Birth of Child

_________________________________________

Name

_________________________________________

(of parent or person having custody or

Guardianship of child)

Date of Birth

_________________________________________

Address

_________________________________________

STATEMENT OF PARENT, CUSTODIAN OR GUARDIAN OF CHILD

In entering this agreement, I understand that, while the agreement continues, the Secretary

or the principal officer of the adoption agency named on this form

is authorised to place the child with suitable persons or in a suitable place; and

will be responsible for ensuring that the child receives proper care; and

will make arrangements for financial support for the child; and

will make arrangements for access to the child while I continue to have a right of access

to the child; and

is authorised to sign consents to anaesthetics or surgical operations where there is a

serious threat to the health of the child and I cannot be contacted within a reasonable

time; and

is authorised to consent to the vaccination of the child and to decide such course of

vaccination; and

will provide me with information about the child from time to time while the agreement

continues.

I understand that the person or persons caring for the child will have the right to make day to

day decisions about the care of the child.

Child Care Agreement - Child Awaiting Adoption Page 2