Power of Attorney for a Child
This Power of Attorney is made pursuant to applicable state laws, specifically for the state of [State Name].
This document grants authority to another person to act on behalf of the parent or legal guardian regarding the care and welfare of the child named below.
Child's Information:
- Name: ___________________________
- Date of Birth: ___________________________
- Address: ___________________________
Parent/Guardian Information:
- Name: ___________________________
- Address: ___________________________
- Phone Number: ___________________________
Agent Information:
- Name: ___________________________
- Address: ___________________________
- Phone Number: ___________________________
Authority Granted: The parent/guardian hereby grants the agent the authority to:
- Make decisions regarding the child's education.
- Provide consent for medical treatment.
- Arrange for childcare and supervision.
- Manage the child's extracurricular activities.
This Power of Attorney remains effective until revoked in writing by the parent/guardian.
Execution:
Signed this _________ day of ______________, 20____.
______________________________
(Parent/Guardian Signature)
Notary Public:
State of _____________, County of ______________.
Subscribed and sworn to before me this _________ day of ______________, 20____.
______________________________
(Notary Public Signature)
My commission expires: ________________