Consent to the making of an order under Section 84 of the Adoption and Children Act 2002
| Published date | 21 March 2018 |
| Subject Matter | Adoption forms |
A105 Consent to the making of an Order under Section 84 of the Adoption and Children Act 2002 (04.13)
Consent to the making of an Order under Section 84 of the
Adoption and Children Act 2002
Name of child: …..............…..........................………….
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 Civil Legal Aid. You can get information about this or find a
solicitor through CLA Direct on www.gov.uk/legal-aid
I, the undersigned ________________________________________________consent to the making of an order
under section 84 of the Adoption and Children Act 2002 giving parental responsibility for
__________________________________________________________(my child), who is the child to whom the
attached birth certificate relates (1),
to (2)
* [__________________________________________________________ (the applicant(s))]
*[the applicant(s) applying under serial number ____________________________________]
*(complete as applicable)
prior to my child being taken to [insert name of country if 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 unders tand 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 person(s) or body(ies) who has/have taken part in the arrangements for the adoption of
my child is/are(4)__________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
I have not received any payment or reward from any person making arrangements for the adoption of my child.
*[I have taken legal advice] *[I have not taken legal advice, but I have been advised to do so],
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 parental rights, in particular, the difficulties of maintaining
contact with my child once the order is made.
*(delete as applicable)
I understand that when the application for the order is heard this document may be used as evidence 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 an order under section
84 of the Adoption and Children Act 2002 in respect of
_________________________________________________ (my child).
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