Clerk stamps date here when form is filed. Fill in court name and street address: Court fills in case number when form is filed. www.courts.ca.gov (skip this if you have a lawyer) (name, address, phone number, and State Bar number): If yes, Juvenile Court and Juvenile Case number: If the child has a lawyer, fill out below. If item 2c is yes, child must have a lawyer (Fam. Code, 247 8714.7). If the agreement is confidential, write 223Confidential224 instead of the person222s name. If you need more space, attach a sheet of paper. Write 223ADOPT-310, Item 3227Other Relatives224 at the top. (circle all that apply): *Explain type of contact on a sheet of paper. Write 223ADOPT-310, Item 3227Other Types of Contact224 at the top. American LegalNet, Inc. www.FormsWorkFlow.com Type or print your name and relationship to child If you have a signed, written agreement about Contact After Adoption, attach a copy. Everyone involved in this agreement must sign below (including the child, if 12 or older, and the child222s attorney). Type or print your name and relationship to child Type or print your name and relationship to child Type or print your name and relationship to child Type or print your name and relationship to child Type or print your name and relationship to child If more relatives need to sign, attach a sheet of paper. Write 223ADOPT-310, Item 6227Signatures of Other Relatives,224 at the top. Judge (or Judicial Officer) Sign your name Sign your name Sign your name Sign your name Sign your name Sign your name American LegalNet, Inc. www.FormsWorkFlow.com