Sample CPR - the Leicester City, Leicestershire and Rutland ...
Sample CPR - the Leicester City, Leicestershire and Rutland ...
Sample CPR - the Leicester City, Leicestershire and Rutland ...
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Form <strong>CPR</strong><br />
Part A – Essential Information<br />
Birth fa<strong>the</strong>r with parental responsibility for <strong>the</strong> child<br />
How did he acquire parental responsibility for this child? (Please indicate)<br />
By marriage to <strong>the</strong> birth mo<strong>the</strong>r (before Yes<br />
or after <strong>the</strong> birth)<br />
Registration on <strong>the</strong> birth certificate (only<br />
after 1 December 2003)<br />
Parental responsibility agreement with<br />
birth mo<strong>the</strong>r – section 4 CA 1989<br />
Parental responsibility order – section 4<br />
CA 1989<br />
Does he know of <strong>the</strong> plan to place <strong>the</strong> child for adoption?<br />
Yes<br />
Has he given formal consent to <strong>the</strong> placement of <strong>the</strong> child for adoption<br />
(witnessed by a CAFCASS officer)?<br />
No<br />
Has he given advanced consent to <strong>the</strong> making of an adoption order<br />
(witnessed by a CAFCASS officer)?<br />
No<br />
If he has given advanced consent, has he also given notice that he does<br />
not wish to be notified of <strong>the</strong> application for an adoption order?<br />
Not applicable.<br />
Page 29<br />
© BAAF 2006<br />
All rights reserved. Except as permitted under <strong>the</strong> Copyright, Designs <strong>and</strong> Patents Act 1988, this form may not be<br />
reproduced, stored in a retrieval system, or transmitted in any form or by any means, without <strong>the</strong> prior written permission<br />
of <strong>the</strong> publishers. A Licence Agreement permitting electronic reproduction of this form can be purchased from BAAF.<br />
Published by BAAF, Saffron House, 6–10 Kirby Street, London EC1N 8TS