Person Filing: Address (if not protected): City, State, Zip Code: Telephone: Email Address: Lawyer's Bar Number: Licensed Fiduciary Number: ____________________________________ Representing Self, without a Lawyer or Attorney for Petitioner OR FOR CLERK'S USE ONLY Respondent SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY In the Matter of: Case Number: PB CONSENT OF PARENT TO (Check one or both) GUARDIANSHIP and/or CONSERVATORSHIP Name of Minor(s) OF A MINOR CHILD and (OPTIONAL) WAIVER OF NOTICE UNDER PENALTY OF PERJURY: 1. INFORMATION ABOUT ME, the parent: Name: Address: Telephone: Date of Birth: I am the natural or legally adoptive MOTHER or FATHER of the minor child or children named above, for whom a guardian and/or conservator is to be appointed. 2. I have read the Petition for Appointment of a Guardian and/or Conservator and consent to the appointment of: as Guardian, child(ren). Conservator, or Guardian and Conservator of the minor American LegalNet, Inc. www.FormsWorkFlow.com ©Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED PBGCM13f- 050115 Page 1 of 2 Case Number: PB 3. (Optional) I WAIVE NOTICE OF ALL FURTHER PROCEEDINGS IN THIS MATTER. OATH OR AFFIRMATION I swear or affirm that I have read and understood this document and the information I have provided is true and correct to the best of my knowledge and belief. Date Parent's Signature Parent's Printed Name STATE OF COUNTY OF Subscribed and sworn to or affirmed before me this: (date) . by (notary seal) Deputy Clerk or Notary Public American LegalNet, Inc. www.FormsWorkFlow.com ©Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED PBGCM13f- 050115 Page 2 of 2