251 2018 Nevada Supreme Court Page 1 of 2 226 Parent Consent and Waiver (Guardianship) COURT CODE: 1470 Your Name: Address: City, State, Zip: Telephone: Email Address: Self-Represented IN THE FAMILY DIVISION OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR THE COUNTY OF WASHOE In the Matter of the Guardianship of the: Person Estate Person and Estate of: ( name of child alleged to need a guardian) A Proposed Protected Minor. CASE NO.: DEPT: CONSENT / WAIVER OF PARENT I, (name of parent signing) , am the ( check one) mother / father of the above-named child who is the subject of the above-captioned guardianship matter. (initial the sections below that you agree with; you can initial one or both) Do not mark an 223x224 226 your consent is invalid without your initials next to one or both statements. I consent to (name of proposed guardian) and (second proposed guardian, or 223n/a224) being appointed as legal guardian(s) of the above-named child. American LegalNet, Inc. www.FormsWorkFlow.com 251 2018 Nevada Supreme Court Page 2 of 2 226 Parent Consent and Waiver (Guardianship) I waive personal service of the Petition for Appointment of Guardian(s) and the Citation to Appear and Show Cause regarding the Petition for Appointment of Guardian(s) in this case. I acknowledge that I have received a copy of the Petition for Appointment of Guardian(s) and the Citation to Appear and Show Cause regarding the Petition for Appointment of Guardian(s) in this case. I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct. This document does not contain the personal information of any person as defined by NRS 603A.040. DATED (month) (day) , 20. STATE OF ) ) COUNTY OF ) This instrument was acknowledged before me on (date) , 20 by (name of parent signing) . SIGNATURE OF NOTARIAL OFFICER (Signature) (Printed Name) American LegalNet, Inc. www.FormsWorkFlow.com