Texas Power of Attorney for a Child
This document creates a Texas Power of Attorney for a Child, allowing you to designate someone to make decisions on behalf of your child. This form is governed by Texas state law.
Principal Information:
- Full Name of Parent/Guardian: ___________________________
- Address: ____________________________________________
- Phone Number: _________________________________
Child Information:
- Full Name of Child: ___________________________
- Date of Birth: _______________________________
Attorney-in-Fact Information:
- Full Name of Attorney-in-Fact: ________________________
- Address: ____________________________________________
- Phone Number: _________________________________
This Power of Attorney grants the Attorney-in-Fact the authority to:
- Make medical decisions for my child.
- Enroll my child in school or other educational programs.
- Authorize access to my child's medical records.
- Transport my child for legal, medical, or educational purposes.
- Make other decisions in the best interest of my child as needed.
This document shall remain in effect from Start Date: _____________ until End Date: ______________ or until revoked in writing.
By signing below, I confirm that I am the legal parent or guardian of the child named above, and I voluntarily grant this Power of Attorney.
Signature of Parent/Guardian: ________________________ Date: _____________
Signature of Attorney-in-Fact: ________________________ Date: _____________
Witnessed by:
- Name of Witness: ___________________________
- Signature of Witness: ________________________ Date: _____________
Notary Public (if required):
- Name of Notary: ___________________________
- Signature of Notary: ________________________ Date: _____________
- My Commission Expires: ______________________