Form 4A-505. Parental consent to appointment of kinship guardian.

STATE OF NEW MEXICO COUNTY OF _______________ ________________ JUDICIAL DISTRICT _______________________________, Petitioner(s) No. _________________ IN THE MATTER OF THE KINSHIP GUARDIANSHIP OF ____________________________,1 (a) Child(ren) (use initials only), and concerning ____________________________, Respondent #1, ____________________________, Respondent #2. PARENTAL CONSENT TO APPOINTMENT OF KINSHIP GUARDIAN 1. I, ___________________________ (name of parent), am the adoptive or biological parent of ______________________ (name(s) of child(ren)). I do hereby knowingly and voluntarily consent to the following: (select all that apply)2 [ ] The appointment of Petitioner(s) as TEMPORARY kinship guardian(s) for no more than one hundred eighty (180) days. [ ] The appointment of Petitioner(s) as PERMANENT kinship guardian(s).3 2. I understand that the purpose of the guardianship is to establish a legal relationship between ________________________ (child(ren)) and ____________________ (Petitioner(s)). 3. I agree that it is in the child(ren)’s best interests that Petitioner(s) be named as the child(ren)’s Kinship Guardian(s). 4. I understand that while the guardianship is in effect, my parental rights will be suspended and Petitioner(s) will have all parental rights and duties of a parent except the right to consent to the adoption of the child(ren). Petitioner(s) will have the right to make all decisions about visitation and the health, education, and welfare of the child(ren) unless otherwise ordered by the court. 5. I understand that I might not have visitation and it may be up to Petitioner(s) if I have visitation with my child(ren). 6. I request to be notified of hearings in this case at the address listed below. I understand that I must notify the court of any changes in my address. 7. I understand that the court may require me to pay child support. 8. I understand that I do not have to sign this consent form, and that I have the right to appear in court to contest the guardianship. 9. I understand that I may withdraw this consent before the court enters an order granting the guardianship. I also understand that to withdraw my consent I must notify the court in writing. 10. I understand that if I desire at a later date to revoke the guardianship, I will have to petition the court using Form 4A-512 NMRA and will have to prove that the circumstances have changed and that revocation is in the child(ren)’s best interests. ___________________________________ Signature of Respondent-parent ___________________________________ ___________________________________ Address ___________________________________ Telephone number and email address STATE OF NEW MEXICO COUNTY OF _____________ ) ) ss ) Acknowledged, subscribed and sworn to before me this _____ day of _____________, _____ by _________________, Respondent-parent. _________________________________ Notary Public My commission expires: _____________