COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.SUPERIOR COURT OF THE DISTRICT OF COLUMBIA FAMILY COURT DOMESTIC RELATIONS BRANCH ADOPTIONJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)EX PARTE IN THE MATTER OF)CASE NO A ) THE PETITION OF) ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .)JUDGE RONNA LEE BECK ) FOR ADOPTION OF MINOR CHILD)THE PEOPLE OF THE STATE OF NEW YORK TOCONSENT OF BIOLOGICAL PARENTGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableI, , being the biological (father) (mother) of the minor child, , born on (out of) (in) wedlock, do hereby consent to the legal adoption of my child by the Petitioner(s) ,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomand, being fully aware that in the event the Petition for Adoption is granted by this Court, I will lose all parental rights and decision-making authority permanently over this child. In addition, I understand that the minor child's name may be changed to that of the Petitioner(s).Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)I have discussed this matter fully with my lawyer and have concluded that it is in the best interests of my minor child that this adoption is granted. I, therefore, request that the Court grant the Petition for Adoption and that a Decree be entered legalizing the adoption of the minor child by the Petitioner(s).Attorney(s) forOffice and P.O. Address DateSignature of Biological ParentTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:1American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s), being first sworn under oath, states that he/she has read the Consent and believes that the statements made therein are true to the best of his/her knowledge and belief.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TO DateAssociate Judge/Deputy Clerk/Notary PublicGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableSubscribed and sworn to before me on .,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomDeputy Clerk/Notary PublicYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:2American LegalNet, Inc. www.USCourtForms.com