Power of Attorney for a Child
This Power of Attorney is designed for use in [State]. It allows you to appoint another person to make decisions on behalf of your child when you are unable to do so.
Use this document to ensure your child’s needs are met during your absence. Please fill in the blank spaces with the appropriate details.
1. Principal Information
Principal's Name: ____________________________
Principal's Address: ____________________________
Principal's Phone Number: ____________________________
Principal's Email: ____________________________
2. Child Information
Child's Name: ____________________________
Child's Date of Birth: ____________________________
Child's Address: ____________________________
3. Agent Information
Agent's Name: ____________________________
Agent's Address: ____________________________
Agent's Phone Number: ____________________________
Agent's Email: ____________________________
4. Powers Granted
By this Power of Attorney, the Principal grants the Agent the authority to:
- Make medical decisions regarding the child.
- Enroll the child in school or childcare programs.
- Manage the child’s financial responsibilities including but not limited to: payments for services, and activities.
- Make decisions regarding the child's welfare and living arrangements.
5. Limitations
This Power of Attorney does not grant the Agent the authority to:
- Make decisions regarding the child's passport or travel.
- Consent to adoption or termination of parental rights.
6. Duration
This Power of Attorney will remain in effect until:
- The specified date: ____________________________.
- The Principal revokes this Power of Attorney in writing.
7. Signatures
By signing below, the Principal acknowledges the understanding of this Power of Attorney and grants the Agent full authority as described above.
Principal's Signature: ____________________________
Date: ____________________________
Agent's Signature: ____________________________
Date: ____________________________
This Power of Attorney is executed in compliance with the laws of the state of [State].