NOTICE: THIS DOCUMENT CONTAINS SENSITIVE DATA
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See § 6 of the Introduction in volume 1 of this manual concerning protection of sensitive data in filed documents. |
[Caption. See § 3 of the Introduction in volume 1 of this manual.]
Waiver of Citation and Consent to Adoption by [Managing Conservator/Parent]
[Name and, if applicable, title] appeared in person before me today and stated under oath:
“I am the [managing conservator/parent with existing parental rights] of the child[ren] whose adoption[s] [is/are] sought in this case. I have been given a copy of the Original Petition for Adoption filed in this case. I consent to the adoption[s] by [name[s]], Petitioner[s]. I enter my appearance in this case for all purposes and waive the issuance, service, and return of citation on me. I agree that the petition may be amended and that the case may be taken up and considered by the Court without further notice to me. I waive the making of a record of testimony.”
[Name]
[Title, if applicable]
[Address]
SIGNED under oath before me on ___________________________________.
Notary Public, State of Texas


