Guardianship

In: Other Topics

Submitted By ddorgoetz
Words 594
Pages 3
TEMPORARY GUARDIANSHIP OF MINOR AUTHORIZATION

Minor
Full Legal Name: _ _______________
Date of Birth: _______________________ Age: ___________ Gender: ___ _____

Parent(s)/Legal Guardian(s):

Parent #1:
Name: _
Address: _______________________
Home phone: ________________ Work phone: ____None__________________
Cell phone: __________________ Pager: _______None____________________
Email: __ ________________
Additional Contact Information: _______N/A____________________________________________
_________________________________________________________________________________

Parent #2:
Name: _ _____________________________________
Address: __________________________________
Home phone: ________________ Work phone: ___________
Cell phone: __________________ Pager: ____None_______________________
Email: ____ _________________
Additional Contact Information: ______N/A_____________________________________________
_________________________________________________________________________________

Temporary Guardian(s):

Temporary Guardian #1:
Name: ___ ______________________________________________________________
Address: ________________________________________
Home phone: __________________ Work phone: __None____________________
Cell phone: ____________________ Pager: _____None______________________
Email: ___ _____________________________
Additional Contact Information: __________N/A_________________________________________
_________________________________________________________________________________

Temporary Guardian #2:
Name: ____.__________________________________________________________
Address: __ ______________________________________________________
Home phone: ________________ Work phone: ____None__________________
Cell phone: __________________ Pager: ____None_______________________
Email:…...

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