IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the Matter of the Change of Name of , a Minor Child (current legal name) by: Petitioner (parent or legal guardian) , ) ) ) ) ) ) ) ) ) CASE NO. CI OBJECTION TO CHANGE OF NAME mother father My relationship to the child named above is: I object to the requested name change because Signature Printed Name Mailing Address City I certify that on I mailed or delivered a copy of this objection to the petitioner. Signature: State Daytime Telephone Number ZIP CIV-696 (9/02)(cs) OBJECTION TO NAME CHANGE Civil Rule 84(e) AS 09.55.010 American LegalNet, Inc. www.USCourtForms.com