Power of Attorney for Child
This document serves as a Power of Attorney for a Child under the laws applicable in the State of __________. It allows the designated individual to make decisions on behalf of the child named below in certain situations. This document should be completed in accordance with applicable state regulations.
1. Designation of Attorney-in-Fact
I, the undersigned parent or guardian, hereby appoint:
Full Name of Attorney-in-Fact: ____________________________
Address: _____________________________________________
Phone Number: ____________________________________
2. Child Information
Full Name of Child: ______________________________
Date of Birth: ______________________________
Address: ____________________________________
3. Powers Granted
The Attorney-in-Fact shall have the authority to:
- Make medical decisions on behalf of the child.
- Consent to medical treatment or surgical procedures.
- Make educational decisions, including school enrollment.
- Manage any financial matters related to the child.
- Authorize participation in extracurricular activities.
4. Duration of Power of Attorney
This Power of Attorney shall be effective from __________ (start date) until __________ (end date), unless revoked in writing prior to that date.
5. Signatures
By signing below, I affirm that I am the parent or guardian of the child named and that I have the authority to execute this document.
Signature of Parent/Guardian: ______________________________
Date: ______________________________
6. Notarization (if required by state law)
State of __________
County of __________
Subscribed and sworn to before me this _____ day of __________, 20__.
Notary Public Signature: ______________________________
My Commission Expires: ______________________________