PARENT DECLARATION AND AGREEMENTParent Declaration and Agreement • June 30th, 2020
Contract Type FiledJune 30th, 2020Full name of child (this must be the same as their BirthCertificate): Date of Birth: Birth Certificate Seen: Office use only. Birth Certificate Seen: Office use only Name known as (If different from above): Name of parent/s with whom the child lives: 1. 1. Does this parent have parental responsibility? (are they named on the birth certificate) YES/NO Tel No: Mobile No: _ Email 2. Does this parent have parental responsibility? (are they named on the birth certificate) YES/NO Tel No: Mobile No:_ Email:_____ _ 2. Address: Name of parent/s with whom the child does not live: Does this parent have parental responsibility (are they named on the birth certificate)? YES/NO Does this parent have legal access to the child?YES/NO