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The United States is in the midst of an obesity epidemic. All that's required in most states is a petition for adoption signed by each events along with a said purpose for the adoption. In North Carolina, the adoptee is required to notify his or her biological parents and siblings that a petition for adoption has been filed with the courtroom.
Same for any current children of the adoptive mother and father. The U.S. would not keep tabs on how many grownup adoptions occur, however in 2013 the president and CEO of the National Council for Adoption instructed the Houston Press, that "dozens happen annually." That's a drop within the bucket compared to the 135,000 children adopted in the U.S.