IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF WASHINGTON In the Matter of the Name Change of Case No. ______________ _________________________________ (Minor's Present Legal Name ­ First Middle Last) CONSENT TO CHANGE OF NAME (Minor's Legal Mother) (Form 7B) to _________________________________ (Minor's New Name ­ First Middle Last) I, ______________________________________ , am the legal mother of the above (Name of Minor's Legal Mother) cited minor. Check one: I have petitioned this Court to change my child's name. I am aware that _____________________________ has petitioned this Court to change my child's name. I waive further notice of this proceeding and consent to the proposed change of my child's name. Dated:______________________ _________________________________ Signature of Minor's Legal Mother Page 1 - CONSENT TO CHANGE OF NAME (MINOR'S LEGAL MOTHER) American LegalNet, Inc. www.FormsWorkFlow.com