"Section 9203 of the Family Code authorizes a person who has been adopted and who attains the age of 21 years to make a request to the State Department of Social Services, or the licensed adoption agency that joined in the adoption petition, for the name and address of the adoptee's birth parents. Indicate by checking one of the boxes below whether or not you wish your name and address to be disclosed:
[]YES
[]NO
[]UNCERTAIN AT THIS TIME; WILL NOTIFY
AGENCY AT LATER DATE."
Ca. Fam. Code § 8818