Fill and Sign the Change Name Minor 497319558 Form

      Your Name (first, middle, last)       Street Address       Town, State, Zip Code       Telephone Number SUPERIOR COURT OF NEW JERSEY LAW DIVISION Atlantic County Docket Number       (to be filled in by the court) In the Matter of the Application of       Your Name (first, middle, last) To Assume the Name of       Name you wish to assume (first, middle, last) CIVIL ACTION CONSENT TO CHANGE OF NAME OF MINOR 1. I,       , am the mother or father of the minor child       . 2. I understand that a petition for the change of my child’s name will be presented to the Superior Court of       County. 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. 6. I request that the Court grant the name change.       Consent to Change of Name of Minor Page 1 of 2 Signature of Parent       Type or Print Name       Address             Telephone number State of New Jersey, County of       I CERTIFY that on the       day of       , 20             personally came before me and acknowledged under oath to my satisfaction, that this person (or if more than one, each person): a) is named in and personally signed the attached document; b) signed and delivered this document as his/her/their act and deed; and Notary Public       Type or Print Name Consent to Change of Name of Minor Page 2 of 2