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    • Adopt a Baby or Child in Texas
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    • Managing Conservatorship
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    • Eric C. Freeby
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Private Adoption Information Sheet

"*" indicates required fields

Adoptive Parent(s)

Adoptive Parent 1

Current Legal Name*
Name as appears on Birth Certificate*
Do you use a title with your name such as Dr. or Rev.?*
MM slash DD slash YYYY
Is there an additional parent?*

Adoptive Parent 2

Current Legal Name*
Name as appears on Birth Certificate*
Do you use a title with your name such as Dr. or Rev.?*
MM slash DD slash YYYY

Additional Information Concerning Adoptive Parent(s)

Address at the time of the birth of child*
Current Mailing Address*
Is your address within city limits?*

Information on child to be adopted

Name birth mother will put on birth certificate at the time of birth*
Name that you want the child to have*
MM slash DD slash YYYY
Gender*
MM slash DD slash YYYY

Birth Mother of Child

Birth Mother's Current Legal Name*
MM slash DD slash YYYY
Current Address*
Is Birth Mother Married?*
Was she married at the time of conception or during her pregnancy?*
Full Legal Name of Husband*
MM slash DD slash YYYY
Husband's Current Address*

Birth Father

Is the Birth Father’s identity known?*
Full Legal Name of Birth Father*
MM slash DD slash YYYY
Current Address*
Is the Birth Father married to the Birth Mother?*
Is the Birth Father aware of the pregnancy?*
Is the Birth Father in a relationship with or supported the Birth Mother?*
Is the Birth Father involved in the adoption process?*

Home Study Provider

Name of social worker who did your home study*
Address*

Location

Our Clients

“The adoption team was available to answer our questions quickly and made us feel comfortable in what can be, at times, an incredibly stressful situation. They helped us prepare for everything and really lead us in the right direction. We honestly don’t know where our family would be without all of their hard work, dedication, and passion for helping to create “forever families." - Travis & Toby Clayton
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