Fill and Sign the Consent to Name Change for Family Utah Form

      Petitioner’s Name       Address (may be omitted for privacy)       City, State, ZIP       Telephone (may be omitted) IN THE       JUDICIAL DISTRICT COURT       COUNTY, STATE OF UTAH In Re the Petition of:       )       ) CONSENT TO NAME CHANGE       )       )       )       ) CASE NO.       ) For a Change of Name to: ) )       )       )       )       )       )       ) ) I,       , the natural legal mother father of the above-referenced minor child(ren), do hereby give my full and free consent to change (name of first child)       ’s name to (name you want the first child to have)       . I also give my full and free consent to change (second child’s name-if no second child, write “N/A”)       ’s name to (name you want the second child to have or “N/A”)       . I request that the relief requested in the Application for Change of Name on file be granted. -- 1 DATED this (day)       day of (month)       , (year)       . ____________________________________ (signature) Subscribed and sworn to before me on this the       day of       , 20       . CLERK OF THE DISTRICT COURT ______________________________ or By ___________________________ Notary Public Deputy Clerk My Commission Expires:       -- 2