State of Alabama Unified Judicial System Form JU-26D Rev. 1/09 NOTICE OF APPEAL - DENIAL OF PETITION FOR WAIVER OF CONSENT FOR ABORTION Case Number IN THE JUVENILE COURT OF ___________________________________________________ COUNTY, ALABAMA (Name of County) In the Matter of _____________, a minor (Initials Only) DATE OF ORDER DENYING THE PETITION FOR WAIVER OF CONSENT FOR ABORTION:____________________ Notice is hereby given that the minor in this matter appeals from the order denying the minor's petition for a waiver of consent to have an abortion performed. ___________________________________________________ Initials of Minor or Signature of Attorney ___________________________________________________ Address of Attorney _____________________________________ DATE _____________________________________ Clerk of Court ___________________________________________________ City State Zip Code ___________________________________________________ Telephone Number Minor requests permission to: File a brief Present oral argument. Ala. Code 1975, �26-21-4(h) American LegalNet, Inc. www.FormsWorkFlow.com