Power of Attorney for a Child
This Power of Attorney for a Child is created under the laws of [State Name]. It allows you, the parent or guardian, to designate another adult to make decisions for your child when you are unable to do so.
Please fill in the sections marked with brackets.
1. Parent or Guardian Information:
- Name: ___________________________
- Address: ________________________
- Email: __________________________
- Phone Number: ___________________
2. Child Information:
- Name: ___________________________
- Date of Birth: ___________________
- School Name: ____________________
3. Attorney-in-Fact Information:
- Name: ___________________________
- Relationship to Child: ____________
- Address: ________________________
- Email: __________________________
- Phone Number: ___________________
4. Powers Granted:
By signing this document, I give the Attorney-in-Fact the authority to:
- Make healthcare decisions for my child.
- Make educational decisions related to my child’s school.
- Provide general care and supervision of my child.
- Make financial decisions regarding activities and necessities for my child.
5. Effective Date:
This Power of Attorney will begin on _______________________ and will remain in effect until _______________________, unless revoked earlier by me.
6. Signatures:
By signing below, I acknowledge that I am voluntarily granting this Power of Attorney.
__________________________
Signature of Parent/Guardian
__________________________
Date
__________________________
Signature of Attorney-in-Fact
__________________________
Date
Notarization:
This document must be notarized to be valid.