FOR A CHILD, do the following. [Instructions on how to edit document below]
____________________

– REPLACE THIS –
“made by myself the undersigned [New Name] of [Address] formerly known as [Old Name]”

– WITH THIS FOR TWO PARENTS –
“made by ourselves the undersigned [Mother’s Name] (mother) and [Father’s Name] (father) of [Address], on behalf of our [son/daughter] [Child’s New Name] formerly known as [Child’s Old Name]”

– OR WITH THIS FOR SINGLE PARENT –
“made by myself the undersigned [Mother/Father’s Name] (mother/father) of [Address], on behalf of my [son/daughter] [Child’s New Name] formerly known as [Child’s Old Name]”

AND

– REPLACE THIS –
“I ABSOLUTELY and entirely renounce”…

– WITH THIS FOR TWO PARENTS –
“WE ABSOLUTELY and entirely, on behalf of our said [son/daughter], renounce”…

– OR WITH THIS FOR SINGLE PARENT –
“I ABSOLUTELY and entirely, on behalf of my said [son/daughter], renounce”…

AND

– REPLACE THIS –
“I SHALL AT ALL TIMES hereafter, in all records”…

– WITH THIS FOR TWO PARENTS –
“WE SHALL AT ALL TIMES hereafter, on behalf of our said [son/daughter], in all records”…

– OR WITH THIS FOR SINGLE PARENT –
“I SHALL AT ALL TIMES hereafter, on behalf of my said [son/daughter], in all records”…

AND

– REPLACE THIS –
“I AUTHORISE AND REQUIRE all persons at all times to designate, describe, and address me by the adopted name of [New Name]”

– WITH THIS FOR TWO PARENTS –
“WE AUTHORISE AND REQUIRE, on behalf of our said [son/daughter], that all persons at all times designate, describe, and address [him/her] by the adopted name of [Child’s New Name]”

– OR WITH THIS FOR SINGLE PARENT –
“I AUTHORISE AND REQUIRE, on behalf of my said [son/daughter], that all persons at all times designate, describe, and address [him/her] by the adopted name of [Child’s New Name]”

AND

– REPLACE THIS –
“IN WITNESS whereof I have hereunto subscribed my adopted and substituted name of [New Name] and also my said former name of [Old Name].”

– WITH THIS FOR TWO PARENTS –
“IN WITNESS whereof, we have hereunto subscribed our names, [Mother’s Name] and [Father’s name] on behalf of the above named [Child’s New Name].”

– OR WITH THIS FOR SINGLE PARENT –
“IN WITNESS whereof, I have hereunto subscribed my name, [Mother’s Name] on behalf of the above named [Child’s New Name].”

AND

– REPLACE THIS –
“by the above name
[New Name]”
“by the above name
[Old Name]”

– WITH THIS FOR TWO PARENTS –
“by the above name
[Mother’s Name]”
“by the above name
[Father’s Name]”

– WITH THIS FOR SINGLE PARENT –
“by the above name
[Mother/Father’s Name]”
[Delete the “Old Name” signature line]
____________________

NOTE: To edit the PDF document, save/download it to your computer and open it using MS Word; it’ll be automatically converted. The signature boxes might be a little messed up. If so, just delete them and create your own ones using tables and borders or using shapes.

Thanks to Dan.