© 2017 Family Court Self-Help Center Parent Consent (4-6 Children)
Page 1 of 2
CONS
Your Name: _________________________
Address: ____________________________
City, State, Zip: ______________________
Phone: ______________________________
Email: ______________________________
Self-Represented
DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Guardianship of the:
Person
Estate
Person and Estate
of:
___________________________________,
___________________________________,
___________________________________,
___________________________________,
___________________________________,
___________________________________
(name of children who need a guardian)
Proposed Protected Minors.
CASE NO.: ____________________
DEPT: ____________________
CONSENT AND WAIVER OF PARENT
I, (name of parent signing) _______________________________________, declare that
I am the ( check one) mother / father of the above-named children who are the subject
of the above-captioned guardianship matter;
I hereby join Petitioner(s) in the Petition for Appointment of Guardian(s) and consent to
having (name of proposed guardian) _______________________________________ and
(second proposed guardian, or “n/a” if none) _____________________________________
appointed as legal guardian(s) of the above named children; and
THIS FORM MUST BE SIGNED IN FRONT OF A NOTARY.
Once you complete the form, print it out and sign it in front of a notary. The parent's original signature and the
notary's stamp and signature must appear on the document that is filed with the court.
