(Rev. 1/24/01) CCJ 0030 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS JUVENILE JUSTICE AND CHILD PROTECTION DEPARTMENT ________________________ DIVISION IN THE INTEREST OF ______________________________________________________ Minor(s)
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Case No. ______________________________
WAIVER AND CONSENT
On behalf of the above named minor and myself, I hereby waive service of the petition and summons in the above-entitled cause, waive any defects in service of process, and consent.
Dated: ___________________________, ________
___________________________________________________ Parent, guardian or legal custodian of said minor
DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS