Person Filing: Mailing Address: City, State, Zip Code: Phone Number: Representing Self SUPERIOR COURT OF ARIZONA, COUNTY OF COCONINO In the Matter of the Guardianship Conservatorship of: Case Number: GC CONSENT OF PARENT TO: [ ] GUARDIANSHIP ONLY [ ] CONSERVATORSHIP ONLY [ ] GUARDIANSHIP AND CONSERVATORSHIP Ward 1: Ward 2: Ward 3: A Minor AND WAIVER OF NOTICE I am the natural: [ ] mother [ ] father of Ward: [ ] 1 [ ] 2 [ ] 3. My Name: Address: Phone Number: Birthdate: I have read the Petition for Guardianship and/or Conservatorship of a Minor, and I consent to the following and waive notice of further proceedings and service of process in this matter. Consent to Guardianship: I consent to the appointment of the following as the minor's guardian: I understand this appointment suspends my parental rights of custody over the minor, including the right to physical possession of the minor and the right and duty to protect, train, and discipline the minor. I understand I may withdraw my consent at any time in writing to the court and ask the court to restore my parental rights and change or end the guardianship. I understand there may be a fee to file court papers. Consent to Conservatorship: I consent to the appointment of the following as the minor's conservator: Page 1 of 2 Revised June 2013 American LegalNet, Inc. www.FormsWorkFlow.com Coconino County Law Library and Self-Help Center Forms I have read this Consent, and it is true and complete to the best of my knowledge. Parent's Signature: State of Arizona County of Subscribed and sworn before me this date: Seal: ) ) ) by: Notary Public: Notary Expiration Date: Page 2 of 2 Revised June 2013 American LegalNet, Inc. www.FormsWorkFlow.com Coconino County Law Library and Self-Help Center Forms