Form 67.13-B
	
Rule 67.13(2)
	
FORM OF CONSENT OF CHILD UNDER SECTION 32(1) OF THE ADOPTION AND CHILDREN (SCOTLAND) ACT 2007
	
	In the petition relating to the adoption of ………………………………………..

(insert the full name of the child as it is given in the birth certificate)
	
	I (full name of child) confirm that I understand the nature and effect of the adoption order for which the petitioner(s) has/have applied in respect of me. I consent to the making of such an order.
	
	I have signed this consent at (place of signing) on the ………………………….
day of ……………………… Two thousand and ………………………………
	
	(signature)

This consent was signed in the presence of:-
	
	(signature of witness)
	
		[Full name of witness]
	
		Address