California Power of Attorney for a Child Template
This document serves as a legal Power of Attorney for a child, granting authority to an appointed person to make decisions on behalf of a minor. This form complies with California state laws.
Principal Information (Parent/Guardian):
- Name: ______________________________
- Address: ____________________________
- Phone Number: _______________________
Agent Information (Appointed Person):
- Name: ______________________________
- Address: ____________________________
- Phone Number: _______________________
Child's Information:
- Name: ______________________________
- Date of Birth: ______________________
- Address: ____________________________
Authority Granted:
The undersigned parent/guardian hereby grants the Agent the authority to:
- Make decisions regarding the child's education.
- Consent to medical treatment for the child.
- Travel with the child as needed.
- Make decisions related to the child’s welfare.
Duration of Power of Attorney:
This Power of Attorney is effective from the date signed until the following date: _______________ or until revoked in writing by the Parent/Guardian.
Signatures:
The undersigned agree to the terms as stated above.
Parent/Guardian Signature: ___________________ Date: ________________
Agent Signature: _____________________________ Date: ________________
Witness Information (if required):
- Name: ______________________________
- Address: ____________________________
- Signature: ___________________________
- Date: _______________________________
This document has been prepared in accordance with California laws regarding Powers of Attorney for children. It is advisable to keep a copy for your records.