Texas Power of Attorney for a Child
This document is a Texas Power of Attorney for a Child, which allows a parent or guardian to grant authority to another individual to make decisions on behalf of the child. This document is governed by the Texas Estates Code, Section 751.
Please fill in the blanks where indicated:
Principal (Parent/Guardian):
Name: ______________________
Address: ______________________
City: ______________________
State: ______________________
Zip Code: ______________________
Phone Number: ______________________
Agent (Person granted authority):
Name: ______________________
Address: ______________________
City: ______________________
State: ______________________
Zip Code: ______________________
Phone Number: ______________________
Child's Information:
Name: ______________________
Date of Birth: ______________________
Address: ______________________
City: ______________________
State: ______________________
Zip Code: ______________________
Powers Granted: The Principal grants the Agent the following powers regarding the child's care and welfare:
- Making medical decisions
- Deciding on educational matters
- Accessing records and agreeing to treatments
- Making travel arrangements
- Other (please specify): ________________
Duration of Authority: This Power of Attorney will remain in effect until:
- The child turns 18 years old.
- The Principal revokes this Power of Attorney in writing.
- On the following date: ________________.
Signatures:
By signing below, I confirm that I am the Parent/Guardian, and I am granting the powers described in this document.
_____________________________
Signature of Principal
_____________________________
Date
_____________________________
Signature of Agent
_____________________________
Date
Witnesses:
_____________________________
Name of Witness 1
_____________________________
Date
_____________________________
Name of Witness 2
_____________________________
Date
This document should be stored safely and a copy provided to the agent and any relevant parties.