Consent To Openness Order Page 3
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3Form 34M1:
Consent to Openness Order
(page 3)
Court file number
Name of children’s aid society representative and position within the children's aid society:
Date
Applicant's signature
Witness' signature
Signature of person who will be permitted to communicate with or have a relationship with the child if order is made:
Date
Respondent's signature
Witness' signature
If applicable, children's aid society that will supervise or participate in the arrangement under the openness order:
Date
Respondent's signature
Witness' signature
CHILD'S CONSENT
If child is 12 years of age or older:
Date
Child's signature
Witness' signature
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FLR-34M-1-E (2011/08)
Page 3 of 3
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