Appearance Waiver And Consent To Adoption printable pdf download

Appearance Waiver And Consent To Adoption

AOC-292

Doc. Code: AWCA

Rev. 5-06

Case No._______________________

11/14/2011 12:09 pm

Page 1 of 2

leave blank if unknown

Ver. 1.02

Circuit Court

Family Court

Commonwealth of Kentucky

Court__________________________

Reset

Court of Justice

APPEARANCE WAIVER AND

County_________________________

KRS 625.041(3); 199.011(14); and

CONSENT TO ADOPTION

199.500

IN THE INTEREST OF:

_____________________________________________, a child

Respondent

Address

WAIVER OF APPEARANCE

I, ___________________________________________________________, hereby state that I am the natural

parent of the above-named child and I hereby voluntarily, and with full knowledge and agreement, waive my right

to appear in the above-styled proceeding to terminate my parental rights.

Parent's Signature

Parent's Name (Printed)

Counsel for Parent

Guardian ad litem for Minor Parent

Cabinet Designee

SUBSCRIBED and SWORN TO before me this _______ day of ______________________, 2______.

My commission expires: _____________________

Notary Public

[ ] Please mail a copy of the FINAL JUDGMENT to:

Appearance Waiver And Consent To Adoption