IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF WASHINGTON In the Matter of the Name Change of _____________________________ (Minor's Present Legal Name ­ First Middle Last) Case No. ______________ DECLARATION SUPPORTING PETITION FOR CHANGE OF NAME (Form 8) to _______________________________ (Minor's New Name ­ First Middle Last) I am the ______________________________ of the above cited minor child. The name (Relationship to the minor child) of the other legal parent of the minor child is ____________________________________________. (Name of minor's parent(s)) I have not obtained the other parent's consent to the proposed change of name. I have not given notice of the time and date of the hearing on this change of name to the biological parent. I request that the Court waive the statutory notice requirement to the other legal parent for the following reasons: I hereby declare that the above statement is true to the best of my knowledge and belief, and that I understand it is made for use as evidence in court and is subject to penalty of perjury. Dated:_______________________ ____________________________________ Signature of Guardian Ad Litem Page 1 - DECLARATION SUPPORTING PETITION FOR CHANGE OF NAME American LegalNet, Inc. www.FormsWorkFlow.com