Page 1 of 1 - Consent to Guardianship by Minor - County ( 201) Form D IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF In the Matter of the Guardianship of: ) Case Number: ) ) CONSENT TO GUARDIANSHIP Minor Child(ren) ) BY MINOR (OVER 14 YEARS OF AGE) ) ) I, , the undersigned, being the above-named minor, do hereby consent to and request the appointment of as my guardian. I hereby waive any time to object to the petition of for appointment of a guardian. DATED this day of , 20 . SUBSCRIBED and SWORN to before me this day of , 20 . Notary Public of Oregon/Court Clerk My Commission Expires: American LegalNet, Inc. www.FormsWorkFlow.com