Affidavit Of Voluntary Relinquishment Of Parental Rights - Texas District Court Page 6

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“I fully understand that a lawsuit has been filed to terminate forever the parent-child
relationship between me and the above-named [child[ren]. I understand that if the Court grants the
termination, that I will legally be excluded as the parent of said [child[ren], and that the parent-
child relationship between myself and the above named [child[ren] will be permanently ended.
“I fully understand that the termination suit may or may not be combined with a suit to
adopt my [child[ren].
“I understand that either way, once the Court terminates my parental rights, I have no
further say concerning my [child[ren], whether or not my [child[ren] is/are adopted then or at some
later time.
“I know that I have the right to appear personally before the Court, with an attorney of my
choice, to testify about my desires with respect to my [child[ren]. However, I do not want to go to
court in person. I have been encouraged to seek independent legal advice. I want this Affidavit of
Relinquishment of Parental Rights presented to the Court.
[or]
“I know that I have the right to appear personally before the Court, with an attorney of my
choice, to testify about my desires with respect to my child. However, I do not want to go to court
in person and choose not to be represented by a lawyer. I want the Texas Department of Protective
and Regulatory Services to present this Affidavit for Voluntary Relinquishment of Parental Rights
to the Court.
“Because I do not want to testify in person before the Court, I freely and voluntarily waive
and give up my right to the issuance, service, and return of citation, notice, and all other process in
any suit to terminate my parental rights or in any suit to terminate my parental rights joined with a
suit to adopt. [If suit to terminate has been filed, then include the following sentence:] I know that

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