AA, AAR 45.4 modifies section 61 of the 1989 Act so that:  section 61(2)(a) is to have effect in relation to the child whether or not they are accommodated by or on behalf of the VAA;  section 61(2)(b) shall not apply. The effect of this is to remove the general obligation on the VAA to ascertain the wishes and feelings of the child's birth parents before making any decision with respect to the child;  section 61(2)(c) shall apply as if for that sub-paragraph there were inserted “(c) any prospective adopter with whom the registered adoption society has placed the child for adoption.” The effect of this is to require that where the VAA has placed a child with a prospective adopter it is to ascertain their wishes and feelings before making any decision with respect to the child. Parental responsibility 5.16. When the agency is authorised to place the child for adoption, the Act makes provision for parental responsibility to be shared between the agency, the birth parents and, once the child is placed for adoption, the prospective adopter. The agency has the power to determine the extent to which the exercise of parental responsibility by the birth parents and/or the prospective adopter should be restricted. This enables the agency to decide how best to share parental responsibility for the particular child, according to their needs, as the case moves through the adoption process. 5.17. The most important elements of parental responsibility include:  providing a home for the child;  having contact with the child;  protecting and maintaining the child;  disciplining the child;  determining and providing for the child's education;  determining the religion of the child;  consenting to the child's medical treatment;  naming the child or agreeing to the child's chan