District Court Denver Probate Court ___________________________________ County, Colorado Court Address: In the Interests of: COURT USE ONLY Minor Attorney or Party Without Attorney (Name and Address): Case Number: Phone Number: FAX Number: Division E-mail: Atty. Reg. #. : Courtroom VERIFIED CONSENT OF PARENT I, ______________________________________________ (full name) am the parent of the above named minor. . I consent to the appointment of _____________________________________________ (full name) as: Temporary guardian (up to six months) for the minor pursuant to §15-14-204, C.R.S. Permanent guardian for the minor pursuant to §15-14-204, C.R.S. VERIFICATION AND ACKNOWLEDGMENT I swear/affirm under oath that I have read the foregoing Consent of Parent and that the statements set forth therein are true and correct to the best of my knowledge. Date: ___________________________ _____________________________________________ Signature of Parent _____________________________________________ Address _____________________________________________ City State Zip Code _____________________________________________ Daytime Phone Number Subscribed and affirmed, or sworn to before me in the County of _________________________, State of ________________, this ___________ day of _______________, 20 _______. My Commission Expires: ____________________ JDF 825 11/07 VERIFIED CONSENT OF PARENT _____________________________________________ Notary Public/Clerk American LegalNet, Inc. www.FormsWorkflow.com