Power of Attorney for a Child
This Power of Attorney is created under the laws of the state of [State].
This document grants authority to the designated agent to make decisions regarding the care and custody of the child named below.
1. Child Information
Name of Child: [Child's Full Name]
Date of Birth: [Child's Date of Birth]
2. Parent/Guardian Information
Name of Parent/Guardian: [Full Name]
Address: [Street Address, City, State, ZIP Code]
Phone Number: [Phone Number]
Email Address: [Email Address]
3. Agent Information
Name of Agent: [Agent's Full Name]
Address: [Street Address, City, State, ZIP Code]
Phone Number: [Phone Number]
Email Address: [Email Address]
4. Scope of Authority
The parent/guardian grants the agent the following powers regarding the child:
- Make decisions regarding the child’s education.
- Authorize medical and dental care for the child.
- Consent to any necessary medical treatments.
- Manage the child’s routine and activities.
- Make decisions about travel and accommodation.
5. Duration of Authority
This Power of Attorney will remain in effect until the following date or event occurs:
[Specify Date or Event]
6. Signatures
By signing below, the parent/guardian affirms that they understand the powers granted in this document.
Parent/Guardian Signature: __________________________ Date: _______________
Agent Signature: __________________________ Date: _______________
7. Notarization
State of [State]
County of [County]
Subscribed and sworn before me this _____ day of _______________, 20__.
Notary Public Signature: __________________________
My commission expires: _______________