Georgia Power of Attorney for a Child
This document allows a parent or guardian to grant authority to another individual (the "Agent") to make decisions on behalf of their child, as recognized under Georgia law.
Parent/Guardian Information:
- Name: __________________________
- Address: ______________________
- Phone Number: __________________
Agent Information:
- Name: __________________________
- Address: ______________________
- Phone Number: __________________
Child Information:
- Name: __________________________
- Date of Birth: ________________
Authority Granted:
The Parent/Guardian hereby grants the Agent the authority to make decisions regarding:
- Medical care and treatment
- Educational decisions
- Travel arrangements
- General welfare
This Power of Attorney is effective from _______________ until _______________ unless revoked earlier by the Parent/Guardian.
Signatures:
By signing below, the Parent/Guardian acknowledges and agrees to the terms of this Power of Attorney.
_____________________________
Parent/Guardian Signature
Date: _______________
_____________________________
Agent Signature
Date: _______________
Notarization:
State of Georgia
County of ________________
Subscribed and sworn before me this ____ day of ______________, 20__.
_____________________________
Notary Public
My Commission Expires: _______________