ATTORNEY OR PARTY WITHOUT ATTORNEY(Name, state bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: ATTORNEY FOR (Name): FAX NO.: SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO JUVENILE COURT 2851 MEADOW LARK DR., SAN DIEGO, CA 92123-2792 325 S. MELROSE DR., VISTA, CA 92081-6643 IN THE MATTER OF AKA: ADOPTION CASE NO.: CONSENT TO ADOPTION (ADULT) 1. I declare under penalty of perjury that I am the spouse of the proposed adoptive parent. I have read the Petition for Adoption and I do consent to the adoption. Not applicable because proposed adoptive parent is not married. Date: (Type or Print Name) (Signature of Spouse of Adoptive Parent) 2. I declare under penalty of perjury that I am the spouse of the proposed adoptee. I have read the Petition for Adoption and I consent to the adoption. Not applicable because proposed adoptee is not married. Date: (Type or Print Name) (Signature of Spouse of Adoptee) SDSC JUV-196(Rev. 10-06) CONSENT TO ADOPTION (ADULT) American LegalNet, Inc. www.FormsWorkflow.com