(a) The petition for the termination of the parent-child legal relationship shall state:
(i) The legal name, sex, date and place of birth of the child, if known, and the jurisdictional facts;
(ii) The name and residence of the petitioner and his relationship to the child;
(iii) The name, address and place and date of birth of the parent, if known, and of the name of the person having the legal custody or guardianship of the child;
(iv) The grounds for termination of the parent-child legal relationship pursuant to W.S. 14-2-309;
(v) Name and address of the person or authorized agency requesting appointment as the guardian of the child.