IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF LANE
In the Matter of the Marriage of: )
)
________________________________, ) Case No. ______________________
Petitioner, )
) ACKNOWLEDGMENT OF SERVICE and
and ) WAIVER OF PARTICIPATION BY ADULT
) CHILD WHO IS A PARTY TO THE ACTION
________________________________, )
Respondent, )
and Co-Petitioner. )
)
Child/ren )
________________________________, )
Child who is at least 18 and under 21 years )
of age, unmarried and unemancipated )
(ORS 107.108) )
I declare that the following is true:
1. My name is and I am years old. I am the
adult child of the parties identified above as the Petitioner and Respondent. I am not married.
2. On (date), I received a copy of the (check one) Summons and
Petition Motion, Affidavit and Order in this case that includes a request that child support be paid (or
not paid) for my benefit.
3. My situation is the following:
IN SCHOOL NOW: (all of the following are true)
I am attending school (or a high school equivalency program or vocational training or the Job
Corps), and
I am carrying at least one-half of what my school or program considers a full courseload, and
I am making satisfactory academic progress, according to my school or program.
Or
ON SCHOOL BREAK NOW BUT WILL ATTEND NEXT TERM:
My school is on a regularly scheduled summer or other break, but I intend to attend school (or a
high school equivalency program or vocational training or the Job Corps) the next scheduled
term or semester and carry one-half of what my school or program considers a full courseload.
Or
SOMETHING OTHER THAN THE TWO SITUATIONS JUST DESCRIBED.
______________________________________________________________________________
______________________________________________________________________________
CHILD ACKNOWLEDGMENT OF SERVICE and WAIVER OF PARTICIPATION - Page 1 of 2
AckServWvAppearChildVer01.doc (6/2011)