PARENT DECLARATION AND AGREEMENTParent Declaration and Agreement • May 2nd, 2024
Name of parent/s with whom the child lives: 1. 2. Address: Does this parent have parental responsibility? (are they named on the birth certificate) YES/NO Tel No: ____________Mobile No:_____________ Email:____________________________________ Does this parent have parental responsibility? (are they named on the birth certificate) YES/NO Tel No: _____________ Mobile No:_____________ Email:_____________________________________
PARENT DECLARATION AND AGREEMENTParent Declaration and Agreement • June 30th, 2020
Full 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
PARENT DECLARATION AND AGREEMENTParent Declaration and Agreement • May 7th, 2022
Full name of child (this must be the same as their Birth Certificate): 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
