Free Consent to Emancipation of a Minor - Arizona

Person Filing: Mailing Address: City, State, Zip: Day/Evening Phone: Person Filing is: If Attorney, Bar No.:

For Clerk's Use Only

/ SELF (No Attorney) OR Attorney Atty. Phone:

SUPERIOR COURT OF ARIZONA COUNTY JUVENILE COURT IN
In the Matter of the Emancipation of: Case Number:

CONSENT TO EMANCIPATION OF A MINOR
A Minor

REQUIRED INFORMATION FROM PARENT OR LEGAL GUARDIAN: 1. INFORMATION ABOUT ME:
Name: Mailing Address: City, State, Zip Code: Daytime / Evening Telephone: ( ) /( )

I am the MOTHER or FATHER or who is requesting emancipation.

LEGAL GUARDIAN of the minor child named above,

2.

I have been notified that the minor child named above intends to file a Petition for Emancipation and I consent to the emancipation of the minor named above because: (Explanation REQUIRED).

OATH OR AFFIRMATION OF PARENT OR GUARDIAN CONSENTING TO THE EMANCIPATION OF A MINOR
I have read, understood, and completed the above statements concerning the petition for the emancipation of the above named minor and I consent to his or her emancipation. All of the information I have provided in this document is true and correct to the best of my knowledge, information and belief. Signature
Subscribed and sworn to or affirmed before me this date:

Date Clerk of Superior Court

OR Notary My Commission Expires: Deputy Clerk

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