STATE OF MICHIGAN 6TH JUDICIAL CIRCUIT COUNTY OF OAKLAND Court Address 1200 N. TELEGRAPH RD., PONTIAC, MI 48341 CONSENT TO APPOINT GUARDIAN AD LITEM CASE NO. Court telephone no. (248) 858-0584 Consent by Minor to Appoint Guardian Ad Litem I, But under 17 years of age. I consent to the appointment of this action. , am a minor respondent in a Personal Protection Order action who is over 14 years as guardian ad litem for me in all matters related to Date Signature of minor respondent Date Signature of Guardian Ad Litem Consent to appoint GAL American LegalNet, Inc. www.FormsWorkFlow.com