Form C IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINN In the Matter of the Guardianship of, Case Number: CONSENT TO GUARDIANSHIP BY MINOR (OVER 14 YEARS OF AGE) minor child(ren) , the undersigned, being the above named minor, do (minor's name hereby consent to and request the appointment of as my (proposed guardian's name ) guardian. I hereby waive notice of hearing and notice of the time and place of hearing on the petition of (petitioner's name) for appointment of a guardian. I, Dated Minor's Signature SUBSCRIBED and SWORN to before me on , 20 Notary Public of Oregon/Court Clerk My Commission Expires: __________ Page 1 of 1 Consent by Minor to Guardianship ­ Linn County (3/16) American LegalNet, Inc. www.FormsWorkFlow.com