Form 108 Rev 1/17 The Family Court of the State of Delaware In and For New Castle Kent Sussex County IN RE THE MATTER OF ) ) ) ) ) ) ) ) Civil Petition No.: WAIVER OF NOTICE I, the of understand that a hearing will take place in the Family Court to consider a Petition for Termination of my Parental Rights in my above named child. In compliance with 13 Delaware Code, Subsection 5, I hereby waive my right to any and all notice of such hearing. Party Waiving Notice Sworn to subscribed before me this day of , Clerk of Court/ Notary Public Date American LegalNet, Inc. www.FormsWorkFlow.com