County Court
District Court
Denver Juvenile Court
________________________________ County, Colorado
Court Address:
IN THE MATTER OF THE PETITION OF:
Parent/Petitioner
:
for
:
Minor Child:
:
to change the child’s name to
COURT USE ONLY
Attorney or Party Without Attorney (Name and Address):
Case Number:
Phone Number:
E-mail:
FAX Number:
Atty. Reg.#:
Division
Courtroom
CONSENT OF NON-CUSTODIAL PARENT
I
1.
, ______________________________________________, am the non-custodial parent of the minor child.
2. I understand that a Petition for the change of my child’s name will be presented to this Court.
3. I understand that I have a right to participate in the hearing and to voice objection to the change of name.
4. I give up any objection and consent to the change of name.
5. I give up my right to be present at any hearing on this change of name.
I, __________________________________, swear/affirm under oath that I have read the foregoing Consent of
Non-custodial Parent and that the statements set forth herein are true to the best of my knowledge and belief.
Date: __________________________
_____________________________________________
Signature of Non-custodial Parent
_____________________________________________
Address
_____________________________________________
City, State, Zip Code
_____________________________________________
Telephone #: (home)
(work)
(cell)
Subscribed and affirmed, or sworn to before me in the County of ______________________, State of
________________, this ___________ day of _______________, 20 ______.
My Commission Expires: ________________________
______________________________________
Deputy Clerk/Notary Public
JDF 423 R4/07
CONSENT OF NON-CUSTODIAL PARENT (Change of Name of Minor)