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Irrevocable Mother'S Affidavit Of Relinquishment Of Parental Rights To A Licensed Child-Placing Agency - Texas District Court Page 2

"It is in the best interest of the child(ren) that the child(ren) be placed for adoption in a suitable home

by an agency licensed by the Texas Department of Protective and Regulatory Services to place children for

adoption. I therefore designate ABRAZO ADOPTION ASSOCIATES, an agency licensed by the Texas

Department of Protective and Regulatory Services to care for children or to place children for adoption, as

managing conservator of my child(ren). I have been informed that my parental rights, privileges, powers, and

duties are as follows:

the duty to support the child(ren), including providing the child(ren) with clothing, food,

shelter, medical care, and education;

the right to have physical possession, to direct the moral and religious training, and to

establish the legal domicile of the child(ren);

the duty of care, control, protection, and reasonable discipline of the child(ren);

the duty to manage the estate(s) of the child(ren), except when a guardian of the estate has

been appointed;

the right to the services and earnings of the child(ren);

the power to consent to marriage, to enlistment in the Armed Forces of United States, and to

medical, psychiatric, and surgical treatment;

the power to represent the child(ren) in legal action and to make other decisions of

substantial legal significance concerning the child(ren);

the power to receive and give receipt for payments for the support of the child(ren) and to

hold or disburse any funds for the benefit of the child(ren);

the right to inherit from and through the child(ren); and

10.

any other rights, privileges, duties, and powers existing between a parent and child (ren) by

virtue of law.

I freely, voluntarily, and permanently give and relinquish to the above-named agency all of my parental

rights, privileges, powers, and duties. I consent to the placement of the child(ren) for adoption by this agency.

Relinquishment of Parental Rights

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Affiant’s Initials _________

Irrevocable Mother'S Affidavit Of Relinquishment Of Parental Rights To A Licensed Child-Placing Agency - Texas District Court Page 2