Fill and Sign the Nevada Consent Form

11 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 CONS (Your name)       (Address)             (Telephone)       In Proper Person DISTRICT COURT ____________ COUNTY, NEVADA In the Matter of the ) Application of: ) CASE NO:       )       ) DEPT. NO.       (Your name) ) ) and ) )       ) (Your spouse’s name) ) ) for Change of Name for Themselves and ) for the Minor Children ) ) ) (First child’s name) ) ) and )       ) (Second child’s name) ) ) CONSENT TO NAME CHANGE I, (consenting parent’s name)       , the (check one) mother / father of the above-referenced minor child(ren), do hereby give my full and free consent to change (first child’s name)       ’s name to 21 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25       . I also give my full and free consent to change (second child’s name or “N/A”)       ’s name to       . I request the relief requested in the Petition for Change of Name on file be granted. DATED this _______ day of (month) _______________, (year) __________.       (Consenting parent’s signature) SUBSCRIBED and SWORN to before me this ______ day of (month) ___________, (year) ________. _________________________________ NOTARY PUBLIC ATTEST: ________________________________ (First witness’ signature) _________________________________ (Second witness’ signature) SUBSCRIBED and SWORN to before me this ______ day of (month) ___________, (year) ________. _________________________________ NOTARY PUBLIC /// /// /// /// 31 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 STATE OF NEVADA ) ) ss: COUNTY OF ____________ County ) The undersigned (first witness’ name)       and (second witness’ name)       , being duly sworn, under oath, depose and say that: We saw (name of consenting parent)       sign the attached Consent to Name Change; at the time the Consent to Name Change was signed by (check one) him/ her, it contained the proposed new name(s) for the minor child(ren); we thereafter subscribed the same as witnesses in the presence of (consenting parent’s name)       and in the presence of each other; at the time that (consenting parent’s name)       signed the Consent to Name Change (check one) he/ she acknowledged to us that (check one) he/ she was, and appeared to us to be, in full possession of (check one) his/ her faculties and not under the influence of any drug, or subject to any duress, fear, menace, compulsion or undue influence whatsoever; and we make this affidavit at (check one) his/ her request. (First witness’ signature) (First witness’ name) (Second witness’ signature) (Second witness’ name) SUBSCRIBED and SWORN to before me this ______ day of (month) ___________, (year) ________. _________________________________ NOTARY PUBLIC 41 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25