I certify that I am the mother of John C. Jones (with whom he resides) (to whom legal custody has been granted). He is __ years of age and is not of sufficient understanding to make this request.
Mary Jones on behalf of John C. Jones
I certify that John C. Jones does not reside with either parent and that I furnish his chief support. He is __ years of age and is not of sufficient understanding to make this request.
Alice Brown, grandmother, on behalf of John C. Jones
31 C.F.R. § 360.63