51. (1) A child may be placed for adoption outside of Canada where one of the following special circumstances exist: 1. The placement fulfils a special need of the child that is related to or caused by a behavioural, developmental, emotional, physical, mental or other handicap. 2. At least one of the prospective adoptive parents is a Canadian citizen. 3. At least one of the prospective adoptive parents is related to the child by blood, marriage or adoption but is not a relative as defined in subsection 3 (1) of the Act. 4. The placement will preserve the child’s cultural background.  R.R.O. 1990, Reg. 70, s. 51 (1); O. Reg. 161/93, s. 1; O. Reg. 274/08, s. 4. (2) Every adoption agency that intends to place a child for adoption outside of Canada shall, before placing the child, prepare a placement plan that, (a) includes a copy of the home study referred to in subsection 55 (1); (b) includes a statement of the health care to be provided for the child, including particulars of health insurance coverage for the child; (c) includes a statement of the arrangements made for the care of the child in the event of an adoption breakdown; (d) specifies the agency that will be supervising the child during the placement and a description of the proposed supervision; (e) includes a description of the provisions made for the child’s education during the placement; (f) includes a description of the adoption law in the jurisdiction of the placement and an opinion by a qualified legal practitioner in that jurisdiction as to whether or not the child can be adopted under that law; and (g) includes a description of the immigration and citizenship laws in the jurisdiction of the placement and an opinion by a qualified legal practitioner in that jurisdiction as to whether or not the child can enter the jurisdiction and obtain citizenship under those laws.  R.R.O. 1990, Reg. 70, s. 51 (2). (3) A licensee referred to in Part VII of the Act that prepares a placement plan referred to in subsection (2) shall file a copy of the plan with a Director before the Director’s approval or refusal is given under subsection 142 (2) of the Act.  R.R.O. 1990, Reg. 70, s. 51 (3). (4) No child shall be placed for adoption and removed from Canada or placed for adoption outside of Canada until the twenty-one-day period for withdrawing a consent under subsection 137 (8) of the Act has expired.  R.R.O. 1990, Reg. 70, s. 51 (4). (5) No child who is seven years of age or more shall be placed for adoption and removed from Canada or placed for adoption outside of Canada unless the child consents to the placement.  R.R.O. 1990, Reg. 70, s. 51 (5). (6) Subsections (1), (4) and (5) do not apply to a child who is to be adopted by the child’s relative, the child’s parent or a spouse of the child’s parent and who is taken or sent out of Canada for that purpose.  R.R.O. 1990, Reg. 70, s. 51 (6). (7) Where a licensee referred to in Part VII of the Act is unable to place a child for adoption within sixty days after a Director has approved the placement under clause 142 (2) (a) of the Act, the licensee shall forthwith after the expiration of the sixty-day period notify a Director in writing that the child has not been placed for adoption and give reasons therefor.  R.R.O. 1990, Reg. 70, s. 51 (7); O. Reg. 683/92, s. 1. Records and Reports