Attorney’s Name: __________________________________ Computer Number: __________________________________ Party Name: __________________________________ Address: __________________________________ City, State, and Zip: __________________________________ Telephone Number: __________________________________ ARIZONA SUPERIOR COURT, PIMA COUNTY IN THE MATTER OF: Case Number: Name: (from birth certificate) ___________________________________ Date of birth: ___________________________________ PARENTAL CONSENT TO APPOINTMENT OF GUARDIAN FOR A MINOR A MINOR 1. I, ____________________________, am the biological or adoptive Mother / Father (circle one). 2. I have received from the guardian the Petition for the Appointment of Permanent Guardian of a Minor. 3. I consent to the appointment of ____________________________ and (if this is a joint petition), ____________________________ as permanent guardian/s for my child ____________________________. 4. I understand that the guardian/s must provide me with notice of all court hearings. I waive notice of the court hearing on the Petition for Appointment of Permanent Guardian of a Minor. 5. I reserve the right to revoke my consent at any time and petition the court to terminate the guardianship. In order to revoke my consent I understand that I must do the following: American LegalNet, Inc. www.USCourtForms.com A. B. C. 6. I must petition the court for such termination by filing a Petition to Terminate Guardianship with the Clerk of Court I must contact the court to request a hearing date for my petition I must give proper legal notice to the guardian and must, at the time I give such notice, provide the guardian with a copy of my Petition to Terminate. My full name and address are as follows: Name: ____________________________ Address: __________________________________________, Unit #: _______ City: __________ State: __________ Zip: __________ I have lived at this address for ______ years, and ______ months. I swear under penalty of perjury that the above statements are true and correct. Print Name: _________________________________ Signed: _________________________________ Date: _________________________________ SUBSCRIBED AND SWORN TO before me on: Date: _________________________________ Signed: _________________________________ Notary Public / Deputy Clerk of Court My commission expires: _________________________________ Seal or stamp inside box American LegalNet, Inc. www.USCourtForms.com