Open Adoption Contact Agreement

Parties

Adoptive Parent(s):

Birth Parent(s):

Child:

Date of Agreement:

Contact Arrangements

  1. Type of Contact:
  2. Frequency of Contact:
  3. Methods of Contact:
  4. Other Agreements:

Additional Terms

Modification/Termination

This agreement may be modified or terminated at any time upon the written consent of all parties.

Signatures

Adoptive Parent Signature Date
Birth Parent Signature Date
Witness/Agency Representative Date