New York Power of Attorney for a Child
This document serves as a Power of Attorney for a child, in accordance with New York State laws. It allows a parent or guardian to assign specific rights to another individual regarding the care and welfare of their child. It is important to ensure that the appointed agent is trustworthy and fully aware of the responsibilities they are assuming.
Principal Information:
- Full Name of Principal (Parent/Guardian): _______________
- Address: _______________
- City: _______________
- State: _______________
- Zip Code: _______________
Agent Information:
- Full Name of Agent: _______________
- Address: _______________
- City: _______________
- State: _______________
- Zip Code: _______________
Child Information:
- Child's Full Name: _______________
- Date of Birth: _______________
Powers Granted:
The Principal grants the Agent the authority to make decisions on behalf of the Child, including but not limited to:
- Making medical decisions for the Child.
- Providing consent for medical treatment.
- Making educational decisions, including enrollment in schools.
- Arranging for daycare or after-school care.
- Traveling with the Child.
Effective Date: This Power of Attorney shall begin on the ___ day of ____________, 20___ and shall remain in effect until the ___ day of ____________, 20___ unless revoked sooner by the Principal.
Revocation: The Principal has the right to revoke this Power of Attorney at any time by providing written notice to the Agent.
Signatures:
In witness whereof, I hereby sign this Power of Attorney on this ___ day of ____________, 20___.
______________________
Signature of Principal
______________________
Signature of Agent
Witness Information:
- Name of Witness: _______________
- Address: _______________
- City: _______________
- State: _______________
- Zip Code: _______________
______________________
Signature of Witness