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Get AK ACS Temp Guardianship Agreement

__________________________, as the custodial parent of: (city, state, zip) List each child’s birth date List the full names of each child Do hereby grant temporary guardianship of the above listed children to: List the full names of the individual (s) to whom you are granting temporary custody List each person’s relationship to the child(ren) Contact information of temporary guardians listed above: Address: ________________________________________________________________________________.

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