Affidavit Of Voluntary Relinquishment Of Parental Rights - Texas District Court Page 8
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11“I acknowledge and agree that termination of the parent-child relationship between myself
and the child[ren] is in the best interest of the child[ren].
“I DECLARE THAT THIS AFFIDAVIT FOR VOLUNTARY RELINQUISHMENT OF
PARENTAL RIGHTS IS AND SHALL BE FINAL, PERMANENT, AND IRREVOCABLE. I
FULLY UNDERSTAND THAT, IF I CHANGE MY MIND AT ANY TIME, I CAN NEVER
FORCE THE AGENCY TO DESTROY, REVOKE, RESCIND, OR RETURN THIS
AFFIDAVIT AND THAT I CANNOT TAKE BACK OR UNDO THIS AFFIDAVIT IN ANY
WAY.
“I have carefully considered alternative plans for my [child[ren]'s future and have obtained
the advice of whatever family members, friends, or other persons and professionals I feel were
necessary to help me make this decision. This decision is very difficult for me to make, and under
other circumstances I might have made a different decision. Nevertheless, under the circumstances
I find myself in, I have decided that I cannot provide properly for my [child[ren]'s physical and
emotional needs, and I want [licensed agency] to place my child[ren] for adoption and provide a
permanent home.
“As I sign this Affidavit of Relinquishment of Parental Rights, I know that [licensed child
placing agency] in accepting my [child[ren] for adoptive placement and assuming responsibility
for my [child[ren], is relying on my promise that I will not attempt to reclaim my [child[ren] With
this in mind, I declare that I fully understand the meaning of this affidavit of relinquishment and
the finality of my action in signing it, and, understanding all this, I am signing it freely, voluntarily,
and with the firm conviction that this decision is the best available alternative for my [child[ren].
“I am signing this affidavit today because I want to sign it and not because any person from
the [name of the licensed child-placing agency] or any other person or persons want me to sign it.
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