ATTORNEY OR PARTY WITHOUT ATTORNEY(Name, state bar number, and address): TELEPHONE NO.: FOR COURT USE ONLY FAX NOS.: ATTORNEY FOR (Name): 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.: PETITIONER’S ADOPTION AGREEMENT (PROPOSED ADOPTIVE PARENT AND PROPOSED ADOPTEE) 1. I, the undersigned proposed adoptive parent, having petitioned the above entitled Court for the approval of the adoption of the proposed adoptee, do hereby agree to assume toward the proposed adoptee the legal relationship of parent and child and to have all the rights and be subject to all of the duties and responsibilities of the relationship, including the right of inheritance. (TYPE OR PRINT NAME) (SIGNATURE OF ADOPTIVE PARENT) 2. I, the undersigned proposed adoptee, having petitioned the above entitled Court for the approval of the adoption by the proposed adoptive parent, do hereby agree to assume toward the proposed adoptive parent the legal relationship of child and parent and to have all the rights and be subject to all of the duties and responsibilities of the relationship, including the right of inheritance. (TYPE OR PRINT NAME) (SIGNATURE OF ADOPTEE) Executed on (date): In the presence of JUDICIAL OFFICER SDSC JUV-195(New 10-02) PETITIONER’S ADOPTION AGREEMENT American LegalNet, Inc. www.FormsWorkflow.com