Fill and Sign the County Colorado County Court District C Form

JDF 423 R3/18 CONSENT OF NON-CUSTODIAL PARENT (Change of Name of Minor) County Court District Court Denver Juvenile Court________________________________ County, ColoradoCourt Address:IN THE MATTER OF THE PETITION OF:Parent/Petitioner: for:Minor Child:to change the child’s name to: COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail:FAX Number: Atty. Reg.#:Case Number:Division Courtroom CONSENT OF NON-CUSTODIAL PARENT 1.I, ______________________________________________, am the non-custodial parent of the minor child.2. I understand that a Petition for the change of my child’s name will be presented to this Court.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. By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form. SIGNATURE ____________________________________ _____________________________________________ (Printed name of Non-custodial Parent) Signature of Non-custodial Parent _____________________________________________ Address _____________________________________________ City, State, Zip Code _____________________________________________ Telephone #: (home) (work)(cell)