Page 1 of Local Form for Option Use Kings County Superior Court APPLICATION FOR JUDICIAL CONSENT TO MARY For Court Use Only In the Superior Court of the State of California (local form) In and for the County of Kings 1640 Kings County Drive Hanford, CA 93230 APPLICATION FOR JUDICIAL CONSENT TO MARRY Case Number: Answer all questions completely and accurately. Application may be typed or legibly printed in blue or black ink. P E R S O N A L I N F O R M A T I O N O N A P P L I C A N T : Name of applicant: (first) (middle) (last) Address of applicant: (street) (city) (state) (zip code) Home telephone number: ( ) Work telephone number: ( ) ext. Message number: ( ) Date of birth: / / Age: Place of birth (city & state): Social security number: - - I N F O R M A T I O N O N P A R E N T S / L E G A L G U A R D I A N S : Name of father: Telephone number: ( ) (first) (middle) (last) Address of father (if different from yours): (street) (city) (state) (zip code) Name of mother: Telephone number: ( ) (first) (middle) (last) Address of mother (if different from yours): (street) (city) (state) (zip code) American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of Local Form for Option Use Kings County Superior Court APPLICATION FOR JUDICIAL CONSENT TO MARY Name of legal guardian: Telephone number: ( ) (first) (middle) (last) Address of legal guardian (if different from yours): (street) (city) (state) (zip code) E D U C A T I O N : Name and place of school you are presently attending: Date last attended: / / Present or highest grade completed: W O R K / O C C U P A T I O N : Present occupation job title: Type of work performed: Employed by ( name of firm ): Date empl oyment began: / / Address of employer: (street) (city) (state) (zip code) Name of Supervisor/Manager: Teleph one number: ( ) Gross (monthly) salary: $ Net (monthly) take home: $ Q U E S T I O N S : Are your parents/legal guardians freely giving their consent to your marriage? No Yes Is there a pre gnancy involved? No Yes If yes, has a doctor verified this pregnancy? No Yes (If yes, a written verification by a qualified physician shall be complete d and attached, with the anticipated due date of that fact) Do your parents/legal guardians know of this situation? No Yes Have you attended Premarital Counseling? No Yes (If yes, a completed Declaration of Premarital Counseling form must be attached) If yes, who have you seen for counseling? (specify name) Telephone number: ( ) Dated on:// American LegalNet, Inc. www.FormsWorkFlow.com