Ch. 574                                        1994 LAWS OF MARYLAND

WITNESS'S SIGNATURE: __________________________________

ADDRESS:_____________

DATE:______________________________________

WITNESS'S SIGNATURE:______________________

ADDRESS:________________________________________

DATE:_____________________________________

STANDBY GUARDIAN'S SIGNATURE:___________________________________________

ADDRESS:____________________________________________________________________

DATE:____________________________________________

(4) A CONSENT BY ANOTHER PERSON WITH PARENTAL RIGHTS TO A
DESIGNATION OF A STANDBY GUARDIAN BY A PARENT MAY, BUT NEED NOT BE, IN
THE FOLLOWING FORM:

CONSENT TO DESIGNATION OF STANDBY GUARDIAN

I (NAME OF PERSON WITH PARENTAL RIGHTS) AGREE WITH THE DESIGNATION
BY (NAME OF PARENT) OF (NAME, HOME ADDRESS, AND TELEPHONE NUMBER OF
STANDBY GUARDIAN) AS STANDBY GUARDIAN OF THE PERSON AND PROPERTY OF
MY CHILD(REN) (NAME OF CHILD(REN)).

I AGREE ALSO TO THE TERMS STATED ABOVE AND UNDERSTAND THAT I
RETAIN FULL PARENTAL RIGHTS EVEN AFTER THE, BEGINNING OF THE STANDBY
GUARDIAN'S AUTHORITY, AND MAY REVOKE MY CONSENT TO THE STANDBY
GUARDIANSHIP AT ANY TIME.

SIGNATURE OF PERSON WITH PARENTAL RIGHTS:____________________________

ADDRESS:____________________________________________________________________

DATE:____________________________________

I DECLARE THAT THE PERSON WHOSE NAME APPEARS ABOVE SIGNED THIS
DOCUMENT IN MY PRESENCE, OR WAS PHYSICALLY UNABLE TO SIGN AND ASKED
ANOTHER TO SIGN THIS DOCUMENT, WHO DID SO IN MY PRESENCE. I FURTHER
DECLARE THAT I AM AT LEAST 18 YEARS OLD AND AM NOT THE PERSON
DESIGNATED AS STANDBY GUARDIAN.

WITNESS'S SIGNATURE:_________________________________________

ADDRESS:.______________

DATE:             _________________________________________________________________

WITNESS'S SIGNATURE:_____________________________________________________

ADDRESS:________________________________________

DATE:_________________________________________________________

STANDBY GUARDIAN'S SIGNATURE:___________________________________________

ADDRESS:______

DATE:_________

(C) THE AUTHORITY OF THE STANDBY GUARDIAN UNDER A DESIGNATION
SHALL BEGIN ON:

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