Husband's Legal Name

(Please list full name — first, middle & last — as it appears on legal documents & vital record forms)

Wife's Legal Name

(Please list full name — first, middle & last — as it appears on legal documents & vital record forms)

Wife's Maiden Name

(Please list full maiden name — first, middle & last — as it appears on legal documents & vital record forms)

Children

Name

Date of Birth

Race

Relationship

Child Details

Full Birth Name

Date of Birth

Gender

Race

Place of Birth

Country

Name of Orphanage

Date of Placement

For vital records form, birth mother's maiden name

Name as you wish it to appear on amended birth certificate

Date of Adoption in Foreign Country

Adoption Decree Number

Did birth mother sign relinquishments or abandon the child?

YesNo

Did birth father sign relinquishments or abandon the child?

YesNo

We hereby give our permission for Raymond W. Godwin, Esq. to use any photos that we send him or his office for use on his website, pamphlets, booklets, or published material.

Adoptive Parent Intake Form: Re-Adopt or Foreign Adoption (Finalized in USA)

Re-Adopt or Foreign Adoption Finalized in USA Intake Form

Children

Family Information

Additional Information

Information of Child(ren) being Adopted or Re-adopted