Fill and Sign the Consent Child Form

IN THE _______________ ______________COURT ________________________________COUNTY, STATE OF _____________________________ IN THE MATTER OF THE CUSTODY OF And SUPPORT of ____________________________ CAUSE NO._____________ (Name of Child), A MINOR Agreement for Consent Judgment Establishing Paternity, Granting Joint Legal and Physical Custody of Minor Child to Mother and Father and Establishing Child Support Payments to Mother Agreement made on the _____________________________ (date) , between ______________________________________ (Name of Mother) of _______________ ________________________________________________________________________ ________________________________________________________________________ ________________________________ (street address, city, county, state, zip code) , and _______________________________________ (Name of Putative Father) of ________________________________________________________________________ ________________________________________________________________________ __________________________________ (street address, city, county, state, zip code). Whereas, ________________________________________ (Name of Mother) , hereinafter referred sometimes referred to as Mother, a single woman, gave birth to a _______________ (male or female) child, since named __________________________ (Name of Child) , on ________________________ (date) , at ______________________ ________________________________________________________________________ ________________________________________________________________________ (e.g., name and address of hospital); Whereas, _________________________________ (Name of Putative Father) , hereinafter sometimes referred to as Father , is the father of said Child as shown by the D eclaration of Paternity attached to this Agreement as Exhibit A. In consideration of the matters described above, and of the mutual benefits and obligations set forth in this Agreement, the parties agree as follows: I. ____________________________________ (Name of Mother) and ______________________________________ (Name of Putative Father) submit personally to the jurisdiction of the __________________Court of __________________ County, State of _________________________. II. ___________________________________ (Name of Mother) and ____________________________________ (Name of Putative Father) consent to entry of a judgment or decree in accordance with the terms of this Agreement. III. Said Mother and Father shall establish a mutually acceptable living schedule for said Child with the understanding that Mother and Father shall share the physical and legal custody of said Child in such a way as to assure the _________________________ (Name of Child) of frequent and continuing contact with both Mother and Father . IV. Neither party shall disparage or criticize the other in the presence of Child or attempt in any way to influence said Child against the other party. V. Father agrees to pay to Mother $____________ per _________________ (e.g., week or month) for the care, support, and education of Child until Child reaches the age of _____ years or until the death of Child or until the marriage of Child, whichever event occurs first. VI. Said Mother and Father will, upon entry of the appropriate decree by this Court, assume joint responsibility for the custody, care, and education of ___________________________________ (Name of Child) . VII. Any Attorneys’ fees, costs and disbursements incurred in these proceedings shall be paid by ______________________________________ (Name of Putative Father) . WITNESS our signatures as of the day and date first above stated. ___________________________________ _________________________________ (Signature of Putative Father) (Signature of Mother) Acknowledged by ______________________________________ (Name of Putative Father) and ________________________________________ (Name of Mother) before me, a Judge of the ________________________Judicial District Court of _________________________County, _________________________________ (Name of S tate) and approved by me on this the _________________________________ (date). ______________________________ JUDGE