Parents Consent To The Establishment Of A Custodial Minor Guardianship {PMG 70p}

Form PMG70 P Minor Guardianship (8/2014) Page 1 of 2 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re Guardianship of : Consent to the Establishment of a Custodial Minor Guardianship Name of Parent DOB Address of Parent Street Town State Zip I am the: custodial parent for the child (ren) named below non - custodial parent for the child (ren) named below. Name of Proposed Guardian Co - G uardian (if any) Name(s) of Child(ren) DOB DOB DOB DOB American LegalNet, Inc. www.FormsWorkFlow.com Form PMG70 P Minor Guardianship (8/2014) Page 2 of 2 Yes No 1. I understand the nature of a minor guardianship and I agree that the establishment of a minor guardianship for the child (ren) named above is in my child s (ren) best interests at this time. Yes No 2. I understand that this is a very important decision and I have give n this matter a lot of thought. Yes No 3. As one of the parent s of this/these child (ren) , I understand that I have the legal right to raise my child (ren) . I understand th at I do not have to agree to this guardianship; I am entitled to a full legal proceeding to determine if I am suitable or unsuitable to parent at this time. However, in this situation, I freely, without threats or intimidation by any perso n, agency or organization, agree to the establishment of a minor guardianship, without a full cour t process, for my child (ren) . Yes No 4. I acknowledge that at this time, I am unable to provide the day - to - d ay care that my child (ren) requires. It is because I want to ensure that my child s (ren) n eeds are met, that I agree to the appointment of person or persons named above as the legal guardian( s) of my child (ren) Yes No 5. The guardian(s) and I have a p lan that identifies what needs to happen for the guardianship to end. Yes No 6. Regardless of the length of the guardianship, I have discussed with the proposed guardian ( s ) that it is important for my child (ren) to maintain a relationship with me as their parent . Yes No 7. I understand that if I want to end this voluntary guardianship for my child (ren) , I may petition the court to do so. If the guardian(s) does/do not agree, the y will have to prove to the court that I am unsuitable to parent at that time Date Signature of Parent American LegalNet, Inc. www.FormsWorkFlow.com