IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the matter of the adoption of ) ) ) ) ) ) ) ) ) ) ) (child's name after adoption) DOB: By , A Minor Child, Petitioner. , CASE NO. OBJECTION TO ADOPTION mother father My relationship to the child named above is: I object to the adoption request because: Signature Printed Name Mailing Address City State ZIP Daytime Telephone Number ______________________________________ Email Address I certify that on I mailed or delivered a copy of this objection to the petitioner. Signature: P-416 (5/17)(cs) OBJECTION TO ADOPTION American LegalNet, Inc. www.FormsWorkFlow.com AS 25.23.060-.070 Adop. R. 9