© 2017 Family Court Self-Help Center Child Consent
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CONS
Your Name: _________________________
Address: ____________________________
City, State, Zip: ______________________
Phone: ______________________________
Email: ______________________________
Self-Represented
DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Guardianship of the:
Person
Estate
Person and Estate
of:
___________________________________,
(name of child who needs a guardian)
Proposed Protected Minor.
CASE NO.: ____________________
DEPT: ____________________
CONSENT AND WAIVER OF CHILD (AGE 14 OR OLDER)
I, (child’s name) _______________________________________, being at least 14 years
old, consent to (name of proposed guardian) _______________________________________
and (second proposed guardian, or “n/a”) ________________________________________
being appointed as my legal guardian(s).
I hereby waive service of the Citation in this case.
I declare under penalty of perjury under the law of the State of Nevada that the above is
true and correct.
DATED (month) ________________________ (day) _______, 20___.
(Signature)
(Printed Name)
THIS FORM CANNOT BE ELECTRONICALLY SIGNED.
Once the form is completed, print it out and have the child sign it in all the required places. The child's original
signature must appear on the document that is filed with the court.
