Form 159 (Rev. 06/10) The Family Court of the State of Delaware In and For New Castle Kent Sussex County In the Matter of: (D.O.B) ) ) ) ) ) ) ) ) File No.: AFFIDAVIT OF CONSENT OF CHILD 14 YEARS OF AGE or OLDER I, , hereby give my consent for to adopt me. I am 14 years of age or older. Date Consenting Party Affiant Sworn to subscribed before me this ______ day of ______________________, _________ Clerk of Court/Notary Public Date Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com