Private Adoption Agreement



[READ CAREFULLY. THIS IS A LEGALLY BINDING AGREEMENT TO RELEASE ALL RIGHTS IN REGARD TO THE CHILD TO BE BORN.]

---------------------, the BIOLOGICAL MOTHER, and ---------------------, the BIOLOGICAL FATHER; referred to collectively as the BIOLOGICAL PARENTS,

and -----------------, the ADOPTIVE MOTHER, and -----------------------, the ADOPTIVE FATHER, referred to collectively as the ADOPTIVE PARENTS,

agree:

BIOLOGICAL PARENTS are the parents of a child, which is now being carried by BIOLOGICAL MOTHER, who is approximately months pregnant. BIOLOGICAL PARENTS are aware that the ADOPTIVE PARENTS are specifically reliant on BIOLOGICAL PARENTS for these representations.

BIOLOGICAL PARENTS desire to allow the child to be adopted by the ADOPTIVE PARENTS. BIOLOGICAL PARENTS understand that:

(a) their parental rights will be lost and terminated by this agreement;

(b) that they will have no legal rights as to the child as a result of this agreement whatsoever, including visitation of any kind;

(c) that the ADOPTIVE PARENTS by this agreement will become the only legal parents of the child;

(d) that this agreement is binding and legally valid, and there will be no opportunity to change decisions made; and,

(e) that this is a final legal agreement for BIOLOGICAL PARENTS to turn over all rights as to the child to be born.

BIOLOGICAL MOTHER agrees to obtain medical advice from qualified practitioners throughout her pregnancy. BIOLOGICAL MOTHER agrees that ADOPTIVE PARENTS may have full and complete access to such records.

And, in consideration of this agreement, that BIOLOGICAL PARENTS will receive the following reimbursement of expenses from ADOPTIVE PARENTS:

$ (dollars)

This fund will be deposited by ADOPTIVE PARENTS within three days of the final signature to this agreement, with (referred to as AGENT); and, prior to any disbursement from the funds, BIOLOGICAL PARENTS will each be required to sign an affirmation of this agreement before any disbursements are made. The agent will pay from this fund the actual costs of the pregnancy of the BIOLOGICAL MOTHER. BIOLOGICAL PARENTS will provide bills for all such expenses to agent. The maximum amount of such reimbursement shall be $ (& no/100 dollars). ADOPTIVE PARENTS shall upon exhaustion of the fund at any time replenish the fund to the limit agreed upon.

BIOLOGICAL PARENTS shall provide any and all reasonable cooperation required by ADOPTIVE PARENTS on request including execution of any legal documents required by ADOPTIVE PARENTS, and attendance at any legal hearings required.

This agreement shall be confidential, and all parties hereto agree that the existence of this agreement and adoption shall be private and confidential.

The nature of this agreement is for unique and personal services and modification of legal rights, and the parties agree that this agreement may be specifically enforced.

READ CAREFULLY PRIOR TO SIGNING.

Dated: ___________.

____________________________

____________________________

____________________________

____________________________