Page 1 of 1 -- Consent (12/2015) Form F IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF MULTNOMAH Probate Department In the Matter of the Guardianship of Case No. CONSENT TO GUARDIANSHIP OF MINOR , (ORS 125.065, ORS 125.070) A Minor. , A Minor. STATE OF OREGON ) ) ss. County of ) I, , state that I am the legal Father of the minor named above. I consent to (agree with) the request that be appointed guardian of this child. This child is years old and was born in . DATED this day of , 20 Print Name of Father SUBSCRIBED and SWORN to before me this day of , 20 Notary Public for Oregon/Court Clerk American LegalNet, Inc. www.FormsWorkFlow.com