District Court Denver Probate Court _________________________________ County, Colorado Court Address: __________________________________________ In the Interests of: ___________________________________________ Minor Attorney or Party Without Attorney (Name and Address): ____________________________________________ ____________________________________________ Phone Number:________________ E-mail: ___________________ FAX Number:__________________ Atty. Reg. #: ________________ COURT USE ONLY Case Number:__________________

Division _______ Courtroom _______

VERIFIED CONSENT OF PARENT
I, ______________________________________________ (full name) am the parent of the above named minor. . I consent to the appointment of _____________________________________________ (full name) as: Guardian, pursuant to §15-14-204(1) and (2), C.R.S. (expires on Minor's 18th birthday, unless otherwise ordered by the Court). If you consent to a Guardianship with limitations, please note below: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

VERIFICATION AND ACKNOWLEDGMENT
I swear/affirm under oath that I have read the foregoing Consent of Parent and that the statements set forth therein are true and correct to the best of my knowledge.

Date: ___________________________

_____________________________________________ Signature of Parent _____________________________________________ Address _____________________________________________ City State Zip Code _____________________________________________ Daytime Phone Number

Subscribed and affirmed, or sworn to before me in the County of _________________________, State of ________________, this ___________ day of _______________, 20 _______.

My Commission Expires: ____________________

_____________________________________________ Notary Public/Clerk

JDF 825 R6/08

VERIFIED CONSENT OF PARENT