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ADOPTION (RELATIVE) QUESTIONNARIE

Repeat client:

Please complete to the best of your ability and return.

INFORMATION FOR ADOPTIVE PARENTS (order of information provided is of no significance):

Parent 1

Gender?

Parent 2 (If applicable)

Gender?
If the person applying to adopt is involved in a spousal relationship, has the spouse consented to the adoption:

INFORMATION ABOUT BIRTH PARENTS:

Do you have consent of both birth parents to adopt:

INFORMATION FOR ADOPTIVE CHILD(REN): (order of information provided is of no significance):

Child 1

4. What is the child’s gender?
7. Does the child have siblings by the birth parents?
8. Will the adopted child have a relationship with such siblings or the extended family?

Child 2 (If APPLICABLE)

15. What is the child’s gender?
18. Does the child have siblings by the birth parents?
19. Will the adopted child have a relationship with such siblings or the extended family?
23. If more than 1 child is to be adopted, are the children related?:
24. Are there any other children in the adoptive family?:

and if YES,   (List: Name and Date of birth):

RELATIVE ADOPTION
DOCUMENTS TO BE PROVIDED BY THE CLIENT(S)
(originals where available)

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