1. What is your name?
2. Is this Child Guardianship Consent Form going to be executed by you and your spouse?
3. What is your spouse's name?
4. Where do you live (number and street)?
5. In what City or Town do you live?
6. In what Jurisdiction do you live? (Please enter the name of the State or Jurisdiction in which you live, such as "the State of California" or "the District of Columbia.")
7. What is the name of the person you are appointing as the Guardian?
8. Do you also wish to appoint the spouse of [7] as a Guardian?
9. What is the spouse's name?
10. What is the address of the guardian(s), (number and street)?
11. In what City or Town do the guardian(s) live?
12. In what Jurisdiction do the guardian(s) live? (Please enter the name of the State or Jurisdiction where the guardian(s) live, such as "the State of California" or "the District of Columbia.")
13. Do you wish the guardianship to be for more than one child?
14. What is the name of the child that the guardianship is for?
15. What are the names of the children that the guardianship is for?
16. Do you wish the guardian(s) to have the normal complete control pursuant to the laws in [12    ]?
17. Do you wish the guardian(s) to be able to advise and give consent concerning medical matters?
18. Do you wish the guardian(s) to be able to determine the clothing, food and shelter of your child?
19. Do you wish the guardian(s) to be able to determine the clothing, food and shelter of your children?
20. Do you wish the guardian to be able to specify the type and kind of childcare?
21. Is there another power that you want the guardian(s) to have?
22. What is that power? ("The right to _________________").
23. Is there another power that you want the guardian(s) to have?
24. What is that power? ("The right to _________________").
25. Is there another power that you want the guardian(s) to have?
26. What is that power? ("The right to _________________").
27. All of the questions have been asked.  The program will now compile your document and enable you to print it.