Form 11	Consent and undertaking by person to act as litigation guardian
Court Procedures Rules 2006
(see r 278 (2) (Becoming a litigation guardian))
In the *[Supreme/Magistrates] Court of the Australian Capital Territory

No *[SC/MC]		of (year)

(name)
Plaintiff

(name)
Defendant

Consent
I, (name) of (home or business address or place of employment) consent to be the litigation guardian of *[plaintiff/defendant] (name).

*Undertaking
(complete this section if the person with a legal disability is a plaintiff)
I undertake to be liable for any costs that the plaintiff might otherwise be required to pay in the proceeding.

Signed:

Dated:

*omit if, or whichever is, inapplicable