Consent Stepparent Adoption printable pdf download

Consent Stepparent Adoption

NO. _________________________

IN THE DISTRICT COURT

JUDICIAL DISTRICT

{COUNTY, STATE}

CUSTODIAL RIGHTS RELINQUISHMENT AND

CONSENT TO STEPPARENT ADOPTION

, am the mother/father of the following children:

1. Name, DOB:

2. Name, DOB:

3. Name, DOB:

4. Name, DOB:

5. Name, DOB:

I hereby relinquish my custodial rights and parental privileges over the above named minor children and

consent to their adoption by the petitioner, the spouse of my former wife/husband.

I understand that by executing this declaration, I terminate all rights to the minor child’s earnings,

education, medical decisions, and legal actions. I understand that this waives all obligations, privileges,

duties, and rights, including care, support, and custody, with the following exceptions:

¨ Inheritance (I will keep my child(ren) in my will)

¨ Visitation

¨ I will accept a visitation plan that the court deems prudent based on the wellbeing of my

child(ren)

¨ My former spouse and I agree to the following plan that includes me as well as

, my

Plan:

Signature

Date

Subscribed and sworn to before me this

day of

(Notary Public),

County.

My commission expires

Consent Stepparent Adoption