Fill and Sign the Affidavit Child Parent Form

Form 202P Rev 1/17 The Family Court of the State of Delaware In and For New Castle County Kent County Sussex County PERMANENT GUARDIANSHIP AFFIDAVIT OF CONSENT OF A CHILD’S PARENT Petitioner Respondent Name Name File Number             Street Address Street Address                   P.O. Box Number P.O. Box Number Petition Number             City/State/Zip Code City/State/Zip Code                   Date of Birth Date of Birth             2nd Petitioner (if any) 2nd Respondent (if any) Name Name             Street Address Street Address             P.O. Box Number P.O. Box Number             City/State/Zip Code State City/State/Zip Code             Date of Birth Date of Birth             BE IT REMEMBERED, that on this date,       ,       (“Affiant”), who, being duly sworn to me according to the law personally appeared before me, a Notary Public for the State and County declared above, did depose and say: 1. I am the Respondent in the above captioned matter involving my child: Child’s Name:       Child’s Date of Birth:       2. I hereby agree that the above referenced Petitioner(s) shall become the permanent guardian(s) of this child. As guardian, the Petitioner(s) shall protect, manage and care for this child. 3. I understand that I shall have the primary responsibility to support this child financially and that this child will have the right to inherit from me and I will have the right to inherit from the child. 4. I understand that my visitation and contact with the child shall be that which is set forth in a Court Order or a Consent Order entered into by all parties to this matter. 5. I know and understand that I have the right to be served with a copy of the petition for permanent guardianship and to attend a hearing on the permanent guardianship of my child(ren). I understand that the Family Court may conduct a hearing on this matter, which I have a right to attend. I waive the rights following any box that I have checked: My right to service of process; My right to notice of such a hearing; And my right to attend the hearing. Page 1 of 2 Form 202P Rev 1/17 6. I understand that the Court may appoint counsel to indigent respondents in guardianship cases. I freely and voluntarily waive my right to counsel. 7. I understand that after the Permanent Guardianship is granted, I may not petition the Court to modify or terminate the Permanent Guardianship. 8. I would like to receive a copy of the final order of the Court: Yes No SWORN TO AND SUBSCRIBED before me this date, Notary Public/Clerk of Court Affiant       Print Name of Affiant Page 2 of 2