consent to making order under s 84 [1]

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INSERT SECURITY CLASSIFICATION Consent to the making of an Order under Section 84 of the Adoption and Children Act 2002 Before signing this form, you are advised to seek legal advice about consenting to the making of an order under section 84 of the Adoption and Children Act 2002 and the effect on your parental rights. Publicly funded legal advice may be available from the Commun ity Leg al Ser vic e. You can get info rma tion abo ut thi s or find a sol ici tor through CLS Direct on www.clsdirect.org.uk or by telephoning 0845 345 4 345 I, the undersigned [enter name] consen t to the making of an order under section 8 4 of the Adoption and Children Act 2002 giving parental responsib ility for Click here to enter text. (my child), who is the child to whom the attached birth certificate relates (1), to (2) * (enter name] (the applican t(s)) *(the applicant(s) applying under serial number) [ enter number] *(complete as applicabl e) prior to my child being taken to [enter name of country of known] a country outside the British Islands(3)] to be adopted by the applicant(s). I understand that, once the application for the order under section 84 has been started in the court, I am likely to need the court’s permission for my child to be returned to me. Once the order is made, I understand that I will have no right to have my child returned to me. I also understand that once the application for the order under section 84 has been started in the court I will have no right to contact with my child unless it is by arrangement *[with the adoption agency that has placed my child for adoption] *[with the applicant(s)] *(delete as applicable) or by order of the court, when the court will decide on the contact arrangements it considers are most appropriate. Once the order under section 84 has been made and my child has been taken to a country outside the British Islands, I understand that it is likely to be difficult for me to enforce any contact order made here, or to obtain a contact order in that country. If I will want contact with my child after the order has been made, I should obtain legal advice. As far as I know, the only pe rson (s) or bo dy(i es) wh o has/have taken pa rt in the arr ang ements for the ado pti on of my chi ld is/ are (4 )________ _________ ___  _________________________________________________________________________  _  _________________________________________________________________________  _  _________________________________________________________________________  _ Page 1 of 3

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Page 1: Consent to Making Order Under s 84 [1]

8/4/2019 Consent to Making Order Under s 84 [1]

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INSERT SECURITY CLASSIFICATION

Consent to the making of an Order under Section 84 of the

Adoption and Children Act 2002

Before signing this form, you are advised to seek legal advice about consenting to themaking of an order under section 84 of the Adoption and Children Act 2002 and theeffect on your parental rights. Publicly funded legal advice may be available from theCommunity Legal Service. You can get information about this or find a solicitor through CLS Direct on www.clsdirect.org.uk or by telephoning 0845 345 4 345

I, the undersigned [enter name] consent to the making of an order under section 84 of theAdoption and Children Act 2002 giving parental responsibility for Click here to enter text. (mychild), who is the child to whom the attached birth certificate relates (1),to (2)* (enter name] (the applicant(s))*(the applicant(s) applying under serial number) [enter number]*(complete as applicable)

prior to my child being taken to [enter name of country of known] a country outside theBritish Islands(3)] to be adopted by the applicant(s).

I understand that, once the application for the order under section 84 has been started in thecourt, I am likely to need the court’s permission for my child to be returned to me. Once theorder is made, I understand that I will have no right to have my child returned to me.

I also understand that once the application for the order under section 84 has been started inthe court I will have no right to contact with my child unless it is by arrangement

*[with the adoption agency that has placed my child for adoption]*[with the applicant(s)] *(delete as applicable)

or by order of the court, when the court will decide on the contact arrangements it considersare most appropriate. Once the order under section 84 has been made and my child has

been taken to a country outside the British Islands, I understand that it is likely to be difficultfor me to enforce any contact order made here, or to obtain a contact order in that country. If I will want contact with my child after the order has been made, I should obtain legal advice.

As far as I know, the only person(s) or body(ies) who has/have taken part in thearrangements for the adoption of my child is/are(4 )_____________________________ _________________________________________________________________________  _  _________________________________________________________________________  _  _________________________________________________________________________  _ 

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I have not received any payment or reward from any person making arrangements for theadoption of my child.

*[I have taken legal advice] *[I have not taken legal advice, but I have been advised to doso],about giving my consent to the making of an order under section 84 giving the applicant(s)parental responsibility for my child prior to adoption abroad and the effect on my parentalrights, in particular, the difficulties of maintaining contact with my child once the order ismade.*(delete as applicable)

I understand that when the application for the order is heard this document may be used asevidence of my agreement to the making of the order, unless I inform the court otherwise.

I consent, unconditionally and with full understanding of what is involved, to the making of anorder under section 84 of the Adoption and Children Act 2002 in respect of (my child).

Signed....................................................................................................................

On the.............................................day of ....................................................20 xx 

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Witness statementThis form was signed by ......................................................................................on the........................................day of ..........................................................20 xx before me (print full name)...........................................................................................

Signed.....................................................................................................................

Office of witness *….……………………………………………………………………Address of witness.……………………………………………………………………..………………………………………………………………………………………………………………………………………………………………………………………………

Notes

1. If the child has previously been adopted, a certified copy of the entry in the AdoptedChildren Register should be attached and not a certified copy of the original entry in theRegisters of Births.

2.Enter either the name(s) of the applicant(s) for the order under section 84, or the serialnumber assigned to the applicant(s) for purposes of the application.

3. The British Islands means England, Wales, Scotland, Northern Ireland, the ChannelIslands and the Isle of Man.

4. Enter the name and address of any person or adoption agency that took part in thearrangements for the child’s adoption.

* In England and Wales this form must be witnessed by an officer of the Children and FamilyCourt Advisory and Support Service or, where the child is ordinarily resident in Wales, by aWelsh family proceedings officer. In Scotland it should be witnessed by a Justice of thePeace or a Sheriff, and in Northern Ireland by a Justice of the Peace.

Outside the United Kingdom, the form should be witnessed by a person who is authorised bylaw in the place where the document is signed to administer an oath for any judicial or legalpurpose, a British Consular Officer, a notary public, or, if the person executing the document

is serving in the regular armed forces of the Crown, an officer holding a commission in any of those forces.

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