_________________________________ Name _________________________________ Address _________________________________ City _________________________________ Telephone ______________________________________________________________________________ IN THE_________________DISTRICT JUVENILE COURT FOR ____________________COUNTY ______________________________________________________________________________ IN THE INTEREST OF_________________, ) ORDER ON PETITION A MINOR. ) FOR EMANCIPATION ) JUVENILE NO.__________________ ) ) ______________________________________________________________________________ The minor's Petition for Declaration of Emancipation was heard by the court on ________,20____. Present at the hearing were: 9 9 9 9 9 9 9 Petitioner Petitioner's mother Petitioner's father Petitioner's guardian/custodian Petitioner's attorney Guardian ad litem Other Individual__________________________________________
May 6, 2006
The court received evidence and opinions from the participants. The court has determined by clear and convincing evidence that emancipation is in the best interest of the minor. The court finds that the petitioner is capable of assuming adult responsibilities and living independently. IT IS THEREFORE ORDERED: 1. 2. The minor is declared emancipated. As an emancipated minor, the minor may enter into contracts, buy and sell
property, sue or be sued, retain his or her own earnings, borrow money for any purpose (including for education), and obtain health care without parental consent. 3. The Petitioner is not considered an adult for purposes of the criminal laws of the
state or for specific constitutional and statutory age requirements regarding voting, use of alcoholic beverages, possession of tobacco or firearms, and other health and safety regulations relevant to the minor because of the minor's age. 4. This Order of Emancipation prospectively terminates parental responsibilities
based on the minor's status as a minor under the custody and control of a parent, guardian or custodian.
_____________________________ Juvenile Court Judge
May 6, 2006