Conditional Surrenders:
the Pros and Cons
Presented by Margaret Burt
NYS Citizens' Coalition for Children, Inc.
13th Annual Statewide Adoption Training Conference
Adoption 2002: Linking Promises to Possibilities
May 10, 2002 • Albany New York

 
SAMPLE

VISITATION AGREEMENT ATTACHMENT TO SURRENDER

The undersigned hereby agree to the following conditions as part and a condition of the surrender for adoption of Julia Mary Miller:

First: Julia will be surrendered for adoption by her birth father Carl Miller. Julia will be adopted by her foster mother Linda Perry

Second: Carl Miller, birth father of Julia, will have visitation with Julia 3 times per year - at intervals of approximately every 4 months. These visits will occur on dates and times mutually agreed upon by the two parties, Mr. Miller and Ms. Perry. At each visit the parties will consult their schedules and agree upon the date and time of the next visit. The parties will endeavor to agree to dates that are convenient for both of them and for the child. Mr. Miller may request that his visit coincide with a special or family occasion and Ms. Perry will endeavor to cooperate with such activity. All the visits will occur under the following conditions:

A. The visits will be minimally one hour in length, but may be longer if the parties so agree.

B. The visits will be at a mutually agreed upon location.

C. The visits will be supervised by Ms. Perry or someone she has approved of as a supervisor until such time as both parties agree that the child is comfortable with an unsupervised setting.

D. If Mr. Miller can not or does not make a visit that had already been arranged for, for whatever reason, Ms. Perry is under no obligation to "make up" or offer an alternative visit. If Ms. Perry cannot or does not make a visit that had already been arranged for, the visit will be "made up" within a month's time at a time the parties mutually agree upon. The parties will show as much consideration as possible to advise each other of visits which cannot be made.

E. If Mr. Miller misses two visits within any 12 month time period, excluding a provable crisis beyond his control, such as serious illness, Ms. Perry is no longer obligated to provide any further visitation whatsoever.

F. The parties shall exchange phone numbers and addresses but shall only use same to communicate regarding visits.

G. All visits will be discontinued if that is the recommendation of any therapist treating the child. Visits would only then recommence upon a therapist's recommendation and under terms recommended.

H. A visit will be discontinued if Mr. Miller engages in any offensive conduct toward Julia, Ms. Perry, or anyone supervising the visit. A visit will terminate immediately if Mr. Miller appears to be under the influence of drugs or alcohol or uses same during a visit.

Third: Ms. Perry will provide copies of Julia's report cards to Mr. Miller

Fourth: This Agreement shall survive the adoption of Julia and shall be governed by the laws of New York State. |

Fifth: This constitutes the entire agreement between birth father Carl Miller, foster and adoptive mother Linda Perry and Mohawk County DSS

Sixth: This Agreement shall survive the Adoption of the child Julia.

 

DATED:

 

______________________________________
Carl Miller

 

          _______________________________________
          Attorney for Carl Miller

 

______________________________________
Linda Perry

 

         ______________________________________
         Attorney for Linda Perry

 

_______________________________________
Sally Caseworker

 

         _______________________________________
         Attorney for Mohawk County DSS

 

______________________________________
Larry Law Guardian

Margaret A. Burt
ATTORNEY AT LAW
63 CALLINGHAM ROAD PITTSFORD, NEW YORK 14534
TEL: (585) 385-4252 FAX: (585) 385-7717

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