Power of Attorney for a Child
This Power of Attorney document is designed for use in [State Name]. It allows a parent or legal guardian to designate another individual to make decisions regarding the care and welfare of their child.
By signing this document, you are granting authority to the designated individual, known as the "Agent," to act on behalf of your child in specified matters. This document should comply with the laws of [State Name].
Principal Information:
- Full Name: ______________________________
- Address: ______________________________
- City, State, Zip: ______________________________
- Phone Number: ______________________________
Child Information:
- Full Name: ______________________________
- Date of Birth: ______________________________
- Address (if different from Principal): ______________________________
Agent Information:
- Full Name: ______________________________
- Address: ______________________________
- City, State, Zip: ______________________________
- Phone Number: ______________________________
Authority Granted:
The Agent shall have the authority to make decisions regarding:
- Medical care and treatment.
- Educational decisions.
- Travel arrangements.
- Other matters concerning the welfare of the child.
Duration:
This Power of Attorney shall remain in effect until [Specify End Date or Condition], unless revoked earlier by the Principal.
Signatures:
By signing below, the Principal confirms that they understand the nature of this Power of Attorney and voluntarily grant these powers to the Agent.
Principal Signature: ______________________________ Date: ______________________________
Witness Signature: ______________________________ Date: ______________________________
Notary Public: ______________________________ Date: ______________________________