U:kscourtscouncil59-2124relinqtoagency rtf membership form history benefits - kansasjudicialcouncil 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the child's name and year of birth in the designated fields. Ensure accuracy as this information is crucial for legal purposes.
  3. Indicate the gender of the child by selecting either 'male' or 'female'. This selection is important for record-keeping.
  4. Fill in your name as the parent, along with your address and state. This identifies you as the relinquishing parent.
  5. Complete the section regarding your age and date of birth. This verifies your eligibility to make such a decision.
  6. Review and check the box confirming that the child is not a member of an Indian tribe or Alaskan Native group, if applicable.
  7. Sign and date the document at the bottom, ensuring you understand that this act permanently relinquishes parental rights.

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