
State of Alabama
Unified Judicial System
Page 2 of 3
Form PR-2 8/08
CONSENT FOR ADULT TO BE ADOPTED
(Section 26-10A-11(b), Ala.Code 1975)
[ ] 7. I, as the [ ] person being adopted; OR the [ ] spouse, [ ] guardian, [ ] custodian,
or [ ] guardian ad litem of the person being adopted, have received or have been offered a
copy of this document.
[ ] 8. I, as the [ ] person being adopted; OR the [ ] spouse, [ ] guardian, [ ] custodian, or
[ ] guardian ad litem, am voluntarily waiving the right to know the identity of each petitioner
who petitions to adopt the person by executing this consent.
[ 9. I, as the [ ] person being adopted; OR the [ ] spouse, [ ] guardian, [ ] custodian, or
[ ] guardian ad litem of the person being adopted, waive further notice of the adoption
proceedings by the execution of this consent, unless there is a contest or appeal of the
adoption proceedings.
[ 10. I understand that notice of withdrawal of this consent must be mailed to
___________________ (county where the consent or petition is filed, if known) Probate Court at the following
address; OR _________________________________________________________________
(name and address of agency with whom document is filed); OR
_______________________________________________ (name of the petitioner(s) or his/her/their attorney, if the
county where the petition was filed is unknown)
and that such withdrawal must be mailed within five days of
the execution of this document.
[ ] 11. That the purpose of this adoption is as follows: ___________________________
_________________________________________________________________________________
(Attach additional sheets, if necessary), and not for any fraudulent purpose.
[ ] 12. That a hearing will be conducted by this Court regarding the Petition for Adoption at
which hearing the person being adopted, and, if applicable, the spouse, guardian, conservator,
or guardian ad litem, will be informed in writing.
I do hereby request that Judge of Probate make all orders and decrees as may be necessary or
proper to legally effect the adoption.
Given under my hand at ____ o’clock [ ] A.M. [ ] P.M. (time) on _____________________ (date),
at ___________________________________________________________________ (address of filing)
_____________________________________
[Signature of Person Being Adopted, Spouse,
Guardian, Conservator, or Guardian ad Litem]
I, ____________________________________________, sign my name to this instrument this the
_____ day of _______________________, 20 ___, and being first duly sworn, do hereby declare
to the undersigned authority that I execute it as my free and voluntary act for the purpose
therein expressed, and I am _____ years of age or older, of sound mind, and under no
constraint or undue influence.
_____________________________________
[Signature of Person Being Adopted, Spouse,
Guardian, Conservator, or Guardian ad Litem]