Loretta Cooper, Adoption
Facilitator
10649 Charbono Way
Rancho Cordova, California 95670
(916) 362-2300 ~ Fax (916) 927-3084
heartfelt@heartfeltadoption.com
Please print, sign, fax, and mail with fee. (Fee due upon signing.)
ADOPTION FACILITATION CONTRACT
______________________________
_______________________________
CLIENT
CLIENT
Heartfelt Adoption (herein after referred to as Heartfelt) and
Adoptive parents, also referred to as Clients, agree to enter
into and be mutually bound by the following terms and agreements:
- ADOPTION FACILITATION: Loretta
Cooper d.b.a. Heartfelt Adoption is engaged in the
profession of adoption facilitation as defined by the
State of California, Family Code Section 8623. Heartfelt
does not place children for adoption and is not a
licensed adoption agency. We may, however, advertise for
the purpose of soliciting parties to an adoption or
locating children for adoption. Heartfelt Adoption
facilitation services are defines as follows: education,
support, resources, advertising and networking as well as
assisting adoptive parents if they are in need of
preparing their birth mother letter/profile.
Once a mutual commitment is reached between the adoptive
couple and the birth mother it is the responsibility of
the adoption agency and/or adoption attorney, or other
parties, in addition to Heartfelt to develop and manage the adoption
plan. Heartfelt does not professionally counsel in order to
change behavior of any birthmother, give legal
advice, manage monetary support to birth mother, or in general complete the adoption process.
Heartfelt
is not contractually or otherwise obligated to
participate in the creation, implementation or management
of any adoption plan, nor in the legal or the social-work
aspect of any adoption. However, if Heartfelt has a
concern with the unfolding of any adoption
plan/development or management that are not being
properly addressed by the existing professionals,
Heartfelt reserves the right to intervene and assist with
matters determined to be necessary and appropriate by
Heartfelt, with no additional fees requested.
Therefore, Clients have been informed, acknowledge and
fully understand that Heartfelt Adoption is a
facilitation service. That Heartfelt has not presented
itself to be a private or public licensed adoption
agency, licensed psychotherapist or counselor, attorney,
law firm, adoption service provider (ASP), investigator,
doctor, nor a social worker. Heartfelt does not place
children for adoption. The birth mother or licensed
agency places children for adoption.
- ADDITIONAL POTENTIAL FEES NOT
INCLUDED IN HEARTFELT FEE: Additional fees may or may not
include attorneys fees, agency fees, support for the
birth mother during pregnancy, medical costs, an Adoption
Service Provider (depending upon your State), and
possibly counseling fees. Many of the above mentioned
fees will be determined by the State which has
jurisdictional rights governing the adoption and whether
or not it is an agency adoption or an open/independent
Adoption. Clients understand that some of the birth
mothers are contacting Heartfelt Adoption directly and
others are provided and managed by other adoption
professionals who charge fees for services rendered in
connection with that adoption situation. Clients
understand that in order to pursue any adoption situation
provided by and/or managed by any adoption professional,
they must also retain the services of that adoption
professional.
INITIALS REQUIRED:_________________________
- STATE TO STATE ADOPTIONS: Clients
also understand that adoption laws may differ with each
State. Therefore, Heartfelt strongly suggests that the
advice of a competent, ethical adoption attorney and/or
the services of a licensed public or private adoption
agency in your state be retained. This will assure that
all jurisdictional State compliances will be adequately
met and that the child located by Heartfelt Adoption can
legally be adopted and transported across State
boundaries with complete confidence that the adoption
laws governing each State are adequately met.
- HEARTFELT ADOPTION FACILITATION
FEES: Heartfelt will be paid a non refundable fee of Forty-eight Hundred
Dollars ($4,800) for a commitment to
render adoption facilitation services involving
education, support, resources, advertising, and
networking in connection with the routine domestic or
international adoption of one child or sibling group
within a period of eighteen consecutive months; said time
period shall commence with the signing of this contract
and continue for a total of eighteen consecutive months
or one completed adoption, whichever shall occur first.
- CONTRACT CANCELLATION: Clients have
the right to revoke and cancel this contract for a period
of 72 hours after the initial signing and dating of this
agreement. Within that time, Clients may request a refund
of their fees paid to Heartfelt, without penalty, with
the exception of a minimal fee deemed earned at the
initial interview in the amount of Seven Hundred Fifty Dollars
($750.00). Otherwise,
this Contractual agreement is not contingent and no
portion of the Forty-eight Hundred Dollar fee ($4,800) is refundable.
INITIALS REQUIRED:_________________________
- This Contract may not be
transferred or sold.
- CONTACT: Heartfelt encourages
contact by the Clients at anytime and as often as they
wish. Clients are encouraged to keep Heartfelt and all
professionals involved in their adoption informed at all
times of their changes in address and/or telephone
numbers and general whereabouts. Clients are also
responsible for forwarding additional copies of their
birth mother letters/profiles to the managing adoption
professionals or birth mothers for consideration.
- WARRANTIES: Heartfelt does not
guarantee that the birth parents or the adoptive parents
will complete the adoption process. Heartfelt does not
conduct independent investigations to substantiate any
assertions made by the birth parents; therefore, cannot
guarantee the validity of the information given by any
birth parents. Heartfelt is not responsible for the birth
parents concealment of information. Heartfelt Adoption
cannot guarantee that all birth mothers will seek and
receive prenatal care or be drug free during the course
of her pregnancy. Heartfelt does not guarantee that a
particular couple will be chosen by a particular birth
mother. Furthermore, Heartfelt cannot guarantee that the
circumstances surrounding any adoption plan will remain
the same during the course of the adoption plan.
INITIALS REQUIRED:_________________________
- INFORMATION AND PHOTOGRAPH RELEASE:
Clients give permission for Heartfelt to show their birth mother letters to prospective birth parents and other
professionals working on our behalf in order to connect
clients with a birth mother who wishes to relinquish her
baby. Clients give Heartfelt permission to display photos
of the baby and family sent to Heartfelt by the clients
themselves or taken by Heartfelt. By the signatures
below, Clients agree to allow Heartfelt to freely discuss
all aspects of their adoption with all the professionals
involved in the adoption procedures.
- ADOPTION INSURANCE: Clients may
consider the purchase of adoption insurance.
- NO GUARANTEE. Heartfelt makes no
representation as to whether or not potential adoption
situations will be available to present to the clients in
any given time frame, that clients will be considered or
selected by a birth mother, nor that any proposed
domestic or international adoption plan entered into will
be successfully completed. Furthermore, Heartfelt cannot
guarantee the physical, emotional, mental condition, or
any condition of any child or children involved in any
adoption.
- BINDING ARBITRATION IN CASE OF A
DISPUTE: This facilitation contract is prepared in accordance with
the
laws of the State of California. Therefore, parties agree if a dispute arises out of the
performance of services rendered and/or fees under this contract, that the matter will be
submitted to binding arbitration. The parties also agree to the mutual
selection of an arbitrator and if agreement cannot be reached it will be
submitted to the American Arbitration Association and the dispute will
be arbitrated in accordance with the rules of the American
Arbitration Association. By their signatures below, clients agree to
settle all disputes through binding arbitration located in the venue of Sacramento County,
Sacramento, California.
CLIENTS PLEASE PRINT AND SIGN NAME:
Signed:__________________________________ Date:_______
Print:___________________________________ Date:_______
Signed:__________________________________ Date:_______
Print:___________________________________ Date:_______
Copyright © 2007-2008 by Heartfelt
Adoption - ALL RIGHTS RESERVED
Mail to:
Heartfelt Adoption 10649 Charbono Way, Rancho Cordova, CA 92670
Thank you for choosing
Heartfelt Adoption