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Here is the text we could read:

ADOPT-210 Adoption Agreement

Clerk stamps date here when form is filed.

1 Adopting parent(s)

a. Name:
b. Name:
Relationship to child:
Address (skip this if you have a lawyer):
City:
State:

Zip:

Telephone number:
Lawyer (if any) (name, address, telephone numbers, e-mail address,
and State Bar number):

Fill in court name and street address:

Superior Court of California, County of

Information about the child
Child’s name before adoption:
Child’s name after adoption:
Date of birth:

Age:

Court fills in case number when form is filed.

Case Number:

Signing this form:
• Adoptions usually require a hearing where most signatures on this form must be completed in front of a judge.

Item 4b may be signed before the hearing.

•

If this is a stepparent adoption to confirm parentage involving a spouse or registered domestic partner who gave
birth to the child or established parentage over a child born through gestational surrogacy during the union, usually
no hearing is required and you may sign this form in front of a proper witness. See item 8a for instructions on having
your signature properly witnessed. If the court orders a hearing in this case, you must sign this form at the hearing in
front of the judge.

• All other signatures must be signed at a hearing, in front of a judge, unless waived by the judge for good cause.

I am the child listed in and I agree to the adoption. (Not required in the case of a tribal customary adoption
under Welf. & Inst. Code, § 366.24.)

Type or print your name

Signature of child (child must sign if 12 or older;
optional if child is under 12)

If there is only one adopting parent and that person is married and not separated, the consent of their spouse is
required under section 8603 of the Family Code. Read and sign below. Stepparent adoptions: Go to Item 7.
a.

I am the adopting parent listed in , and I agree that the child will:
1
(1) Be adopted and treated as my legal child (Fam. Code, § 8612(b)) and
(2) Have the same rights as a natural child born to me, including the right to inherit my estate.

Date:

Type or print your name

Signature of adopting parent

Judicial Council of California,
Rev. January 1, 2021, Mandatory Form
Family Code, §§ 8602–8606, 8612, 8919, 8919.5, 9000.5, 9003;
Welfare and Institutions Code, § 366.24;
Cal. Rules of Court, rule 5.730

Adoption Agreement

ADOPT-210, Page 1 of 3

Your name:

Case Number:

I am married to, or am the registered domestic partner of, the adopting parent listed in , and I am not a party
1
to this adoption. I agree to the adoption of the child by the adopting parent listed in .

Type or print your name

Signature of spouse or registered domestic partner
(may be signed before hearing)

If there are two adopting parents, read and sign below.
We are the adopting parents listed in , and we agree that the child will:

a. Be adopted and treated as our legal child (Fam. Code, § 8612(b)) and
b. Have the same rights as a natural child born to us, including the right to inherit our estate.

I agree to the other parent’s adoption of the child.

Type or print your name

Signature of adopting parent

I agree to the other parent’s adoption of the child.

Type or print your name

Signature of adopting parent

If this is a tribal customary adoption, read and sign below.
I/we are the adopting parents listed in , and I/we agree that the child will:
1
a. Be adopted and treated as my/our legal child (Fam. Code, § 8612(b)) and
b. Have the same rights and duties stated in the tribal customary adoption order dated

attached).

If two adopting parents, we agree to the other parent’s adoption of the child.

(copy

Type or print your name

Signature of adopting parent

Type or print your name

Signature of adopting parent

7 For stepparent adoptions only:

If you are the legal parent of the child listed in , read and sign below.
I am the legal parent of the child and am the spouse or registered domestic partner of the adopting parent listed in
1
. I agree to the adoption of my child by the adopting parent listed in .

Type or print your name

Signature of legal parent

Rev. January 1, 2021

Adoption Agreement

ADOPT-210, Page 2 of 3

Date:

Your name:

8 Executed (check one):

Case Number:

This form was signed outside of a hearing. (Select this option only for a stepparent adoption to confirm
parentage under Family Code, § 9000.5, where the court did not order a hearing for good cause.)

(1)

This form was signed in California.
This form was signed in front of the following type of witness (check one):

Notary public (the notary acknowledgment is attached)
Court clerk
Probation officer
Qualified court investigator
Authorized representative of a licensed adoption agency
County welfare department staff member

(2)

This form was signed outside of California.
This form was signed in front of the following type of witness (check one):

Notary public (the notary acknowledgment is attached)
Other person authorized to perform notarial acts (proof of notarization is attached)
Authorized representative of an adoption agency that is licensed in the state or country where this
form was signed

(state)

(country)

(3) Witness information

This form was signed in: (county)
Name of witness:
Agency witness works for (if applicable):

Date:

Witness signature:

This form was signed at a hearing in front of a judicial officer. (The judge will date and sign the form below.)

Date:

Judge (or Judicial Officer)

Rev. January 1, 2021

Adoption Agreement

ADOPT-210, Page 3 of 3

Adoption Agreement

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 3
Fields(s): 56
Average fields per page: 18
Reading Level: Grade 6
LIST Grouping(s): FA-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

adop_page_court_info_ft was ADOPT-210[0].Page1[0].CourtInfo_ft[0] (0.44 conf)
adop_page_case_number_ft was ADOPT-210[0].Page1[0].CaseNumber_ft[0] (0.41 conf)
adop_page_list_l_parent_ft was ADOPT-210[0].Page1[0].List1[0].LI1[0].ParentA_ft[0] (0.41 conf)
adop_page_list_l_parent_b_ft was ADOPT-210[0].Page1[0].List1[0].LI1[0].ParentB_ft[0] (0.41 conf)
adop_page_list_l_parent_rel was ADOPT-210[0].Page1[0].List1[0].LI1[0].ParentRel[0] (0.40 conf)
adop_page_list_l_parent_street was ADOPT-210[0].Page1[0].List1[0].LI1[0].ParentStreet[0] (0.40 conf)
page_list_item_probation_officer was ADOPT-210[0].Page1[0].List1[0].LI1[0].item8a1ProbationOfficer_cb[0] (0.38 conf)
page_list_l_parent_state_ft was ADOPT-210[0].Page1[0].List1[0].LI1[0].ParentState_ft[0] (0.41 conf)
adop_page_list_l_parent_zip was ADOPT-210[0].Page1[0].List1[0].LI1[0].ParentZip[0] (0.40 conf)
adop_page_list_l_parent_tel was ADOPT-210[0].Page1[0].List1[0].LI1[0].ParentTel[0] (0.40 conf)
adop_page_list_l_atty_info_ft was ADOPT-210[0].Page1[0].List1[0].LI1[0].AttyInfo_ft[0] (0.43 conf)
adop_page_list_child_adopt_ft__1 was ADOPT-210[0].Page1[0].List2[0].ChildBeforeAdopt_ft[0] (0.39 conf)
adop_page_list_child_adopt_ft__2 was ADOPT-210[0].Page1[0].List2[0].ChildAfterAdopt_ft[0] (0.37 conf)
adop_page_list_b_dt was ADOPT-210[0].Page1[0].List2[0].DoB_dt[0] (0.42 conf)
adop_page_list_age_ft was ADOPT-210[0].Page1[0].List2[0].Age_ft[0] (0.40 conf)
adop_page_list_l_date_dt__1 was ADOPT-210[0].Page1[0].List3[0].LI1[0].Date_dt[0] (0.41 conf)
page_list_l_type_name_ft__1 was ADOPT-210[0].Page1[0].List3[0].LI1[0].TypeName_ft[0] (0.43 conf)
adop_page_list_date_dt__1 was ADOPT-210[0].Page1[0].List4[0].Date2_dt[0] (0.40 conf)
adop_page_list_type_name_ft__1 was ADOPT-210[0].Page1[0].List4[0].TypeName2_ft[0] (0.40 conf)
page_p_e_header_grp_name__1 was ADOPT-210[0].Page2[0].PE_P2Header_grp[0].YourName[0] (0.40 conf)
page_p_e_grp_case_number__1 was ADOPT-210[0].Page2[0].PE_P2Header_grp[0].CaseNumber_ft[0] (0.39 conf)
adop_page_list_l_date_dt__2 was ADOPT-210[0].Page2[0].List4[0].LI2[0].Date1_dt[0] (0.43 conf)
page_list_l_type_name_ft__2 was ADOPT-210[0].Page2[0].List4[0].LI2[0].TypeName1_ft[0] (0.42 conf)
adop_page_list_date_dt__2 was ADOPT-210[0].Page2[0].List5[0].Date2_dt[0] (0.40 conf)
adop_page_list_type_name_ft__2 was ADOPT-210[0].Page2[0].List5[0].TypeName2_ft[0] (0.40 conf)
adop_page_list_date_dt__3 was ADOPT-210[0].Page2[0].List5[0].Date3_dt[0] (0.40 conf)
adop_page_list_type_name_ft__3 was ADOPT-210[0].Page2[0].List5[0].TypeName3_ft[0] (0.40 conf)
page_list_l_order_date_dt was ADOPT-210[0].Page2[0].List6[0].LI2[0].OrderDate_dt[0] (0.40 conf)
adop_page_list_date_dt__4 was ADOPT-210[0].Page2[0].List6[0].Date4_dt[0] (0.40 conf)
adop_page_list_type_name_ft__4 was ADOPT-210[0].Page2[0].List6[0].TypeName4_ft[0] (0.40 conf)
adop_page_list_date_dt__5 was ADOPT-210[0].Page2[0].List6[0].Date5_dt[0] (0.40 conf)
adop_page_list_type_name_ft__5 was ADOPT-210[0].Page2[0].List6[0].TypeName_ft[0] (0.39 conf)
adop_page_list_l_date_dt__3 was ADOPT-210[0].Page2[0].List7[0].LI1[0].Date6_dt[0] (0.43 conf)
page_list_l_type_name_ft__3 was ADOPT-210[0].Page2[0].List7[0].LI1[0].TypeName6_ft[0] (0.42 conf)
page_p_e_header_grp_name__2 was ADOPT-210[0].Page3[0].PE_P2Header_grp[0].YourName[0] (0.40 conf)
page_p_e_grp_case_number__2 was ADOPT-210[0].Page3[0].PE_P2Header_grp[0].CaseNumber_ft[0] (0.39 conf)
adop_page_list_l_item_ab_cb was ADOPT-210[0].Page3[0].List8[0].LI1[0].item8ab_cb[0] (0.41 conf)
adop_page_list_l_item_cb__1 was ADOPT-210[0].Page3[0].List8[0].LI1[0].List1[0].LI1[0].item8a1_2_cb[0] (0.36 conf)
adop_page_list_l_c_cb__1 was ADOPT-210[0].Page3[0].List8[0].LI1[0].List1[0].LI1[0].InCA_cb[0] (0.41 conf)
adop_page_list_l_c_cb__2 was ADOPT-210[0].Page3[0].List8[0].LI1[0].List1[0].LI1[0].InCA_cb[1] (0.41 conf)
adop_page_list_l_c_cb__3 was ADOPT-210[0].Page3[0].List8[0].LI1[0].List1[0].LI1[0].InCA_cb[2] (0.41 conf)
adop_page_list_l_c_cb__4 was ADOPT-210[0].Page3[0].List8[0].LI1[0].List1[0].LI1[0].InCA_cb[3] (0.41 conf)
adop_page_list_l_c_cb__5 was ADOPT-210[0].Page3[0].List8[0].LI1[0].List1[0].LI1[0].InCA_cb[4] (0.41 conf)
adop_page_list_l_c_cb__6 was ADOPT-210[0].Page3[0].List8[0].LI1[0].List1[0].LI1[0].InCA_cb[5] (0.41 conf)
adop_page_list_l_item_cb__2 was ADOPT-210[0].Page3[0].List8[0].LI1[0].List1[0].LI2[0].item8a1_2_cb[0] (0.36 conf)
adop_page_list_l_c_cb__7 was ADOPT-210[0].Page3[0].List8[0].LI1[0].List1[0].LI2[0].OutCA_cb[0] (0.41 conf)
adop_page_list_l_c_cb__8 was ADOPT-210[0].Page3[0].List8[0].LI1[0].List1[0].LI2[0].OutCA_cb[1] (0.41 conf)
adop_page_list_l_c_cb__9 was ADOPT-210[0].Page3[0].List8[0].LI1[0].List1[0].LI2[0].OutCA_cb[2] (0.41 conf)
adop_page_list_l_item_county was ADOPT-210[0].Page3[0].List8[0].LI1[0].List1[0].LI3[0].item8a3County[0] (0.41 conf)
adop_page_list_l_item_state was ADOPT-210[0].Page3[0].List8[0].LI1[0].List1[0].LI3[0].item8a3State[0] (0.41 conf)
adop_page_list_l_item_country was ADOPT-210[0].Page3[0].List8[0].LI1[0].List1[0].LI3[0].item8a3Country[0] (0.41 conf)
page_list_l_item_name_witness was ADOPT-210[0].Page3[0].List8[0].LI1[0].List1[0].LI3[0].item8a3NameWitness[0] (0.40 conf)
adop_page_list_l_item_agency_cb was ADOPT-210[0].Page3[0].List8[0].LI1[0].List1[0].LI3[0].item8a3Agency_cb[0] (0.43 conf)
adop_page_list_l_item_date_cb was ADOPT-210[0].Page3[0].List8[0].LI1[0].List1[0].LI3[0].item8a3Date_cb[0] (0.38 conf)
adop_page_list_l_item_b_cb was ADOPT-210[0].Page3[0].List8[0].LI2[0].item8b_cb[0] (0.41 conf)
adop_page_date was ADOPT-210[0].Page3[0].Date[0] (0.40 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Adoption Agreement

About This Form:

Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02