Judicial Council of California Form ADOPT-210, Adoption Agreement Instructions

Check this box if there are more adopting parents than the form allows space for, indicating that their information will be provided on a separate sheet.

Check this box if there are more adopting parents than can be listed in the main form, requiring a separate attachment. Fill only if 'More adopting parents' is 'Yes'.

Please provide the full legal name of the first adopting parent.

Please provide the full legal name of the second adopting parent, if applicable.

Please provide the street address of the adopting parent(s); skip this field if a lawyer is representing the adopting parent(s). Fill only if 'Lawyer Name' is empty.

Please provide the city of residence for the adopting parent(s). Fill only if 'Lawyer Name' is empty.

Please provide the state of residence for the adopting parent(s). Fill only if 'Lawyer Name' is empty.

Please provide the zip code for the adopting parent(s)'s address. Fill only if 'Lawyer Name' is empty.

Please provide the telephone number of the adopting parent(s). Fill only if 'Lawyer Name' is empty.

Please provide the full name of the lawyer representing the adopting parent(s), if applicable.

Please provide the full address, telephone numbers, e-mail address, and State Bar number of the lawyer representing the adopting parent(s).

Check this box if there are more adopting parents than the form provides space for.

Provide the full name(s) of the adopting parent or parents.

Enter the date the adopting parent signs the agreement.

Enter the full name of the adopting parent, typed or printed.

Please provide the full name of the adopting parent or parents.

Please enter the unique case number assigned to this legal matter.

Please provide the unique case number for this form.

Please provide the date the child agrees to the adoption.

Please type or print the full name of the child agreeing to the adoption.

Enter the full name and street address of the Superior Court of California, including the county.

Enter the unique case number assigned by the court for this filing.

Check this box if the form was signed outside of a hearing, specifically for a stepparent adoption to confirm parentage where the court did not order a hearing for good cause, or if the court waived appearance. Fill only if 'Stepparent Adoption' is 'Yes'

Check this box if the form was signed at a hearing in front of a judicial officer.

Check this box if the form was signed by the adopting parent or parents either before or while attending a remote hearing and was acknowledged by the judicial officer.

Enter the date the adopting parent agreement is signed.

Provide the full name of the adopting parent signing the agreement.

Provide the date the first adopting parent signed this document.

Enter the full name of the first adopting parent, typed or printed.

Enter the child's full legal name as it was before the adoption.

Enter the child's full legal name as it will be after the adoption.

Provide the child's date of birth.

Enter the child's current age in years.

Enter the date the judicial officer signs the form. Fill only if 'Signed at a judicial hearing', 'Signed by parent(s) at/before remote hearing' is 'Yes', any.

Enter the date the legal parent provides their consent for the stepparent adoption. Fill only if 'Type of adoption' is 'Stepparent adoption'.

Enter the full name of the legal parent providing consent, as it should be printed or typed. Fill only if 'Type of adoption' is 'Stepparent adoption'.

Enter the date the second adopting parent agrees to the adoption. Fill only if 'More adopting parents' is 'Yes'.

Provide the full name of the second adopting parent. Fill only if 'More adopting parents' is 'Yes'.

Please provide the date the second adopting parent signed the form.

Please provide the printed full name of the second adopting parent.

Check this box if the form was signed in California in front of a notary public and the notary acknowledgment is attached. Fill only if 'This form was signed in California' is 'Yes'.

Check this box if the form was signed in California in front of a court clerk. Fill only if 'This form was signed in California' is 'Yes'.

Check this box if the form was signed in California in front of a probation officer. Fill only if 'This form was signed in California' is 'Yes'.

Check this box if the form was signed in California in front of a qualified court investigator. Fill only if 'This form was signed in California' is 'Yes'.

Check this box if the form was signed in California in front of an authorized representative of a licensed adoption agency. Fill only if 'This form was signed in California' is 'Yes'.

Check this box if the form was signed in California in front of a county welfare department staff member. Fill only if 'This form was signed in California' is 'Yes'.

Check this box if the form was signed outside of California. Fill only if 'Signed outside of a hearing' is 'Yes'.

Check this box if the form was signed outside of California and witnessed by a notary public, with the notary acknowledgment attached. Fill only if 'This form was signed outside of California' is 'Yes'.

Check this box if the form was signed outside of California and witnessed by another person authorized to perform notarial acts, with proof of notarization attached. Fill only if 'This form was signed outside of California' is 'Yes'.

Check this box if the form was signed outside of California and witnessed by an authorized representative of an adoption agency licensed in the state or country where the form was signed. Fill only if 'This form was signed outside of California' is 'Yes'.

Enter the date the spouse or registered domestic partner provides consent.

Provide the full name of the spouse or registered domestic partner.

Please enter the date the third adopting parent agrees to the adoption of the child. Fill only if 'More adopting parents' is 'Yes'.

Please type or print the full name of the third adopting parent. Fill only if 'More adopting parents' is 'Yes'.

Enter the date of the tribal customary adoption order. Fill only if 'Type of adoption' is 'Tribal customary adoption'.

Provide the name of the county where this form was signed. Fill only if 'Signed outside of a hearing' is 'Yes'.

Provide the name of the state where this form was signed. Fill only if 'Signed outside of a hearing' is 'Yes'.

Provide the name of the country where this form was signed. Fill only if 'Signed outside of a hearing' is 'Yes'.

Enter the full name of the witness. Fill only if 'Signed outside of a hearing' is 'Yes'.

Provide the name of the agency the witness works for, if applicable. Fill only if 'Signed outside of a hearing' is 'Yes'.

Enter the date the witness signed the form. Fill only if 'Signed outside of a hearing' is 'Yes'.