NAME OF ADOPTING PARENT
STREET ADDRESS
CITY, STATE, ZIP
TELEPHONE NUMBER

NAME OF ADULT BEING ADOPTED
STREET ADDRESS
CITY, STATE, ZIP
TELEPHONE NUMBER

NAME OF ADOPTING PARENT and
NAME OF ADULT BEING ADOPTED  , IN PRO PER

SUPERIOR COURT OF THE STATE OF CALIFORNIA 
FOR THE COUNTY OF SACRAMENTO 

In the Matter of the Adoption of

NAME OF ADULT BEING ADOPTED,

An Adult Person	Case No.  

PETITION FOR APPROVAL OF 
ADOPTION AGREEMENT	

Petitioners allege:
1.	Petitioner NAME OF ADULT BEING ADOPTED is an adult person, who is INSERT AGE years of age, born on MONTH, DATE AND YEAR OF BIRTH, in CITY, STATE, and now residing at STREET ADDRESS, CITY, STATE, ZIP.  
Petitioner is: (check one)
  MARRIED   INSERT NAME OF SPOUSE AND DATE/PLACE OF MARRIAGE 
  IS NOT MARRIED

2.	Petitioner NAME OF ADOPTING PARENT is an adult person who is INSERT AGE years of age, born on MONTH, DATE AND YEAR OF BIRTH, in CITY, STATE, and now residing at STREET ADDRESS, CITY, STATE, ZIP.  
Petitioner is: (check one)
  MARRIED   INSERT NAME OF SPOUSE AND DATE/PLACE OF MARRIAGE 
  IS NOT MARRIED
3.	On or about DATE ADOPTION AGREEMENT WAS SIGNED, Petitioners entered into and executed a written agreement in which petitioner NAME OF ADOPTING PARENT agreed to adopt petitioner NAME OF ADULT BEING ADOPTED and petitioner NAME OF ADULT BEING ADOPTED agreed to be adopted by petitioner NAME OF ADOPTING PARENT. Both petitioners agreed to assume towards each other the legal relationship of parent and child and to have all the rights and be subject to all the duties and responsibilities of that relation. A copy of the signed Adoption Agreement is attached hereto as EXHIBIT A and made a part hereof.
4.	NAME OF THE SPOUSE OF ADULT BEING ADOPTED is the spouse of NAME OF ADULT BEING ADOPTED and they have duly consented in writing to the adoption sought herein. A copy of his/her consent is attached hereto as EXHIBIT B and made a part hereof.
5.	NAME OF THE SPOUSE OF ADOPTING PARENT is the spouse of  NAME OF ADOPTING PARENT and they have duly consented in writing to the adoption sought herein. A copy of his/her consent is attached hereto as EXHIBIT C and made a part hereof.
6.	Petitioner, NAME OF ADOPTING PARENT desires to adopt petitioner NAME OF ADULT BEING ADOPTED, and petitioner NAME OF ADULT BEING ADOPTED desires to be adopted.
7.	DESCRIBE THE FAMILY RELATIONSHIP BETWEEN THE PARTIES, IF ANY.  (i.e STEPCHILD, NEPHEW, etc.)  IF THERE IS NO FAMILY RELATIONSHIP, REMOVE THIS PARAGRAPH
8.	DESCRIBE THE LENGTH AND NATURE OF THE RELATIONSHIP BETWEEN PARTIES
9.	STATE REASONS WHY THIS ADOPTION IS SOUGHT AND IS IN THE BEST INTERESTS OF THE PARTIES AND THE PUBLIC
10.	The names and addresses of the living parents and adult children of petitioner NAME OF ADULT BEING ADOPTED are as follows:
FATHER'S NAME AND ADDRESS
MOTHER'S NAME AND ADDRESS
ADULT CHILD NAME AND ADDRESS

11.	IF THE ADOPTING PARENT, OR THE ADOPTING PARENTS SPOUSE HAVE PREVIOUSLY ADOPTED AN ADULT, ENTER THE NAME AND DATE OF THAT ADOPTION. IF NOT, REMOVE THIS PARAGRAPH
12.	Petitioner, NAME OF ADULT BEING ADOPTED, wishes to: (check one)
 Continue to be known by current name, CURRENT NAME OF ADULT BEING ADOPTED
 Be known by a new name, NEW NAME OF ADULT BEING ADOPTED

WHEREFORE, petitioners pray that the court permit all persons concerned in this matter to attend and be heard, and that the court examine all persons appearing before it as required by law, and if satisfied that the best interests of the parties and the public interest will be promoted by the proposed adoption, grant the petition, approve the agreement of adoption, and make a decree that NAME OF ADULT BEING ADOPTED has been duly and legally adopted by petitioner NAME OF ADOPTING PARENT .

Dated: INSERT DATE SIGNED			______________________________
							NAME OF ADOPTING PARENT

Dated: INSERT DATE SIGNED			______________________________
							NAME OF ADULT BEING ADOPTED

VERIFICATION

	I, NAME OF ADOPTING PARENT, am one of the petitioners in the above-entitled proceeding. I have read the foregoing petition and know the contents thereof. The same is true of my own knowledge, except as to those matters which are therein alleged on information and belief, and as to those matters, I believe them to be true.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Dated: INSERT DATE SIGNED			______________________________
						NAME OF ADOPTING PARENT