Kansas Power of Attorney for a Child
This Power of Attorney is created in accordance with the laws of the State of Kansas. It allows a parent or guardian to designate another person to make decisions on behalf of their child. This document should be filled out carefully to ensure that all necessary information is included.
Principal Information:
- Full Name of Parent/Guardian: _______________________________
- Address: _________________________________________________
- Phone Number: ___________________________________________
Agent Information:
- Full Name of Agent: ________________________________________
- Address: _________________________________________________
- Phone Number: ___________________________________________
Child Information:
- Full Name of Child: ________________________________________
- Date of Birth: ____________________________________________
Powers Granted: The Agent shall have the authority to make decisions regarding the following:
- Medical care and treatment.
- Education decisions.
- Travel arrangements.
- General welfare and well-being of the child.
Effective Date: This Power of Attorney shall become effective on the following date: ______________________.
Duration: This Power of Attorney will remain in effect until: ______________________ or until revoked in writing by the Principal.
Signature:
By signing below, I acknowledge that I am the parent or legal guardian of the child named above and that I am granting the powers outlined in this document.
Signature of Parent/Guardian: _______________________________
Date: ____________________________________________________
Notary Public:
State of Kansas
County of ___________________________
Subscribed and sworn to before me this _____ day of ______________, 20__.
Notary Public Signature: ______________________________________
My commission expires: ______________________________________