Kentucky Power of Attorney for a Child
This Power of Attorney is made in accordance with Kentucky law. It allows a parent or legal guardian to appoint another person to make decisions on behalf of their child.
Principal Information:
- Full Name of Parent/Guardian: ___________________________
- Address: _______________________________________________
- Phone Number: _________________________________________
Child Information:
- Full Name of Child: _____________________________________
- Date of Birth: _________________________________________
- Address: _______________________________________________
Agent Information:
- Full Name of Agent: _____________________________________
- Address: _______________________________________________
- Phone Number: _________________________________________
Authority Granted:
The undersigned grants the Agent the authority to make decisions regarding the following:
- Education
- Healthcare
- Travel
- General Welfare
This Power of Attorney is effective as of the date signed and will remain in effect until revoked in writing.
Signatures:
By signing below, the Principal acknowledges that they understand the authority being granted.
______________________________
Signature of Parent/Guardian
______________________________
Date
______________________________
Signature of Agent
______________________________
Date