CONSENT
BY MINOR TO CUSTODY RELINQUISHMENT
I,
________________________________________, the ___________ (Son/Daughter) of
__________________________________ and _____________________________, being
________________ (__) years of age, consent to the release and relinquishment
by my parents of all rights to the custody and control over me, and all claims
and interest in and to my services and wages.
In
witness whereof, I have executed this instrument at __________________________ (Place of Execution) on
___________________.
_______________________________________
Signature
of Minor
This
document was hereby signed in the presence of the following:
______________________________________ _______________
Signature Date