_______________________________________________, ______________________________________________, Signature of Guardian or Parent Signature of Guardian or Parent
STATE OF WASHI NGTON
Ack now ledgm ent of I ndiv idual(s)
COUNTY OF _ _ _ _ _ __ _ _ ___ _ _ __ _ __ _ _ ,
On t his dayper sonallyappear ed befor e m e_ __ _ __ _ _ ___ __ _ _ __ _ __ _ __ _ ___ ___ t o now n be, t e k o m t he indiv idual(s)eand for w it hin t he ecut ed ho ex descr ibed in and w goingandinst r um ent , ack now ledged t she/ t hehat he/ ysigned t he sam e as his/ her / t heir fr ee and v olu nt aryact and deed, for t he uses and p ur poses t her ein m ent ioned.
Giv en u nder m y hand and seal of office t his _ _ _ __ _ __ _ day of _ _ _ _ _ __ _ __ _ ___ _ _ __ , 2 0 _ __ _ _ __ .