New York Power of Attorney for a Child
This Power of Attorney template is designed for use in New York. It allows a parent or guardian to appoint another individual to make decisions on behalf of their child under specific circumstances.
Parties Involved:
- Principal: __________________________ (Parent/Guardian Name)
- Child: __________________________ (Child's Name)
- Agent: __________________________ (Agent's Name)
Appointment of Agent:
I, __________________________, the undersigned Parent/Guardian of __________________________, hereby appoint:
Agent's Name: __________________________
Agent's Address: __________________________
Agent's Phone Number: __________________________
This Power of Attorney gives the Agent the authority to:
- Make decisions regarding medical care and treatment for the child.
- Sign documents related to the child’s education.
- Authorize participation in extracurricular activities.
- Make decisions regarding the child's welfare and living arrangements.
Duration: This Power of Attorney is effective from _______________ until _______________ (date). It may be revoked before this time if written notification is given to the Agent.
Notarization: This document must be signed in front of a notary public.
Signatures:
Parent/Guardian Signature: __________________________
Date: _______________
Agent Signature: __________________________
Date: _______________
WITNESS:
Signature: __________________________
Date: _______________
Notary Public:
State of New York) ______________________
County of ______________________
On this ____ day of ________________, 20___, before me, the undersigned, a Notary Public in and for said state, personally appeared __________________________ to me known to be the individual described in and who executed the foregoing instrument.
Signature of Notary: __________________________
My Commission Expires: _______________