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Form 9-102.7. Consent Of Child To Independent Adoption

Form 9-102.7. Consent of child to independent adoption

    CONSENT OF                                      TO INDEPENDENT ADOPTION

(Name of child)

INSTRUCTIONS

You have the right to have these instructions and the consent form translated into a language that you understand. If you cannot read or understand English, you should not sign the consent form.

If you have a disability that makes it hard for you to understand this consent form,

Even if you do not have a problem understanding this consent form, you have the right to speak with a lawyer before you agree to be adopted. If you want to speak with a lawyer, do not complete this form until you have spoken with a lawyer.

If you sign the consent form, the people who want to adopt you will file an adoption case in the Circuit Court for           . There probably will be a court hearing about your adoption. During that hearing, the judge probably will ask you if you want to be adopted. The judge will make the final decision about your adoption.

If you sign this consent form and then change your mind and decide that you do not want to be adopted, you may take back or "revoke" your consent. However,

              (Signature)                                               (Date)

You must attach a copy of these signed instructions to the signed consent form.

CONSENT OF                                             TO INDEPENDENT ADOPTION

1.  I understand English, or this consent form has been translated into                , a language that I understand.

2.  My name is                                                                .

3.  My date of birth is                . I am       years old.

4.  I understand that                      have ask to adopt me.

5.  Check

[ ] I have a lawyer whose name and telephone number are                . I have met with my lawyer who has gone over this consent form with me and explained to me what it means to be adopted. I want to agree to be adopted.

OR

[ ] I do not have a lawyer. I have read the instructions in the front of this form, and I understand this consent form. I do not want to speak with a lawyer before I complete this form and agree to be adopted.

6.  I understand that if I agree to be adopted, and I am adopted,                      will become my parents, and I will become their child.

7.  I understand that if I agree to be adopted, and I am adopted,                      will no longer be my parents.

8.  I understand that I do not have to agree to be adopted. If I do not agree, the court cannot approve the adoption.

9.  I voluntarily and of my own free will agree to being adopted by                     . I understand that if they are not able to complete the adoption, this consent form will no longer be valid and can no longer be used.

10.  I understand that if I change my mind and do not want to be adopted, I must tell the judge immediately. I will have to sign a written statement or tell the judge in court that I do not want to be adopted

11.  I understand that when I am at least 21 years old, my birth parents or I may apply to the Secretary of the Maryland Department of Health to get certain birth and adoption records. If I do not want information about me to be given to my birth parents, I have the right to file a form called a "disclosure veto." I have been given a form that I may use if I want to file a disclosure veto.

12.  I understand that when I am at least 21 years old, my birth parents, my siblings, or I may apply to the Director of the Social Services Administration of the Maryland Department of Human Resources for adoption search, contact, and reunion services.

13.  I have read this consent form or have had it read and explained to me in a language that I understand. I understand the meaning of this consent form.

14.  I have not been promised anything in return for agreeing to be adopted.

15.  I have signed this consent form of my own free will.

16.  I understand that I will be given a copy of this signed consent form.

I solemnly affirm under the penalties of perjury that the contents of this consent to adoption form are true to the best of my knowledge, information, and belief.

                                                                                     

(Date)                                     (Signature)

                                                                                  

                                    (Printed Name)

                                                                                  

                                    (Address)

                                                                                  

                                    (City, State, Zip Code)

                                                                                  

                                    (Telephone Number)

Witness:

                                                                                     

(Date)                                     (Signature)

                                                                                  

                                    (Printed Name)

                                                                                  

                                    (Address)

                                                                                  

                                    (City, State, Zip Code)

                                                                                  

                                    (Telephone Number)

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Local Government
Maryland
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Larry Hogan
Larry Hogan
January 21, 2015 -
Republican
1-410-974-3400
100 State Circle, Annapolis, MD, 21401

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