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 THE PETITION TO ADOPT AKA: PETITION FOR ADOPTION OF ADULT PETITION FOR ADOPTION OF MARRIED MINOR 1. ADOPTION CASE NO.: Type of Adoption: ADULT Person adopting is an adult and older than the adoptee. Agreement between Petitioner and adoptee has been executed and filed. Petitioner(s) (specify name and address of each petitioner and adoptee): Petitioner: Adoptee: Petitioner seeks to adopt: Male Female Date of birth: Age: Place of birth (city and state): Person with developmental disabilities Date, city and state of marriage (if applicable): Petitioner: Adoptee: Full names of spouse(s) (if applicable): Petitioner: Adoptee: Spouse(s) consent(s) have been filed. Full names and places of residence of any living parents and/or adult children of adoptee: 2. 3. 4. 5. 6. 7. Petitioner or petitioner's spouse: Has previously adopted an adult. a. Name of adult adopted: Date and place of adoption: Has not previously adopted an adult. Is a provider or employee of a provider of board and care, treatment, rehabilitation, or other services to b. persons with developmental disabilities. Is not a provider or employee of a provider of board and care, treatment, rehabilitation, or other services to persons with developmental disabilities. SDSC JUV-193(Rev. 10-06) PETITION FOR ADOPTION OF ADULT OR MARRIED MINOR Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com IN THE MATTER OF THE PETITION TO ADOPT: ADOPTION CASE NO.: 8. State degree of kinship, if any, between petitioner and adoptee: Stepparent: Other (specify): State length and nature of relationship between petitioner and adoptee. 9. 10. State the reason the adoption is sought: 11. State why the adoption would be in the best interest of the petitioner, the adoptee, and the public: 12. The undersigned petitioner(s) and the proposed adoptee do hereby agree to assume toward each other the legal relationship of parent and child and to have all the rights and be subject to all of the duties and responsibilities of that relationship, including the right of inheritance. Petitioner(s) and adoptee request the court to 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 the adoptee has been duly and legally adopted by the petitioner(s) and that the adoptee shall be known as (state adoptee's full adoptive name): 13. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER) Date: (TYPE OR PRINT NAME) (SIGNATURE OF ADOPTEE) Date: (TYPE OR PRINT NAME) (SIGNATURE OF ATTORNEY FOR PETITIONER(S)) SDSC JUV-193(Rev. 10-06) PETITION FOR ADOPTION OF ADULT OR MARRIED MINOR Page 2 of 2