Schedule 1Adoption of Children Act (2021 Revision)
Particulars Relating to the Child
1Name
2Address
3
(a)Date of birth
(b)Weight at birth (state if premature)
(c)Present weight
(d)Was the mother's confinement normal or instrumental?
4Is the child a British subject?
5If baptised, state place of baptism, and denomination
6Full name, address and age of child's parents
If dead, state date of death
7Parents' religion(s)
8Has either parent any other children? If so, state age and sex of each
9Is there any history of insanity, tuberculosis or other disease in the family of either parent?
10Why is the child offered for adoption?
11Has the child any right or interest in property? If so, give full particulars.
12Has any insurance been effected on the life of the child?
13If the mother is alive
(a)is she married or party to a civil partnership? If so, to whom?
(b)does she consent to the adoption?
14If the father is alive
(a)is he married or party to a civil partnership? If so, to whom?
(b)if not, is he otherwise liable to contribute to the child's maintenance? If so, give particulars.
(If the parents are separated, state whether there is a separation order in force).
(c)does he consent to the adoption?
15If the child has guardians, state
(a)their names and addresses;
(b)how and by whom they were appointed;
(c)whether they consent to adoption.
16
(a)Are any other persons liable to contribute to the support of the child?
(b)If so, do they agree to adoption?
17If the answer to question 13(b), 14(c), 15(c) or 16(b) is "No", the reason should be stated.
18Was the child
(a)entirely-breast fed?
(b)partially breast fed?
(c)entirely bottle fed?
19
(a)when did the child begin to walk?
(b)when did the child begin to talk?