California Power of Attorney for a Child
This document serves as a legal instrument granting certain powers regarding the care and custody of a minor child. It is governed by California law. This Power of Attorney is executed with the intention of allowing the designated agent to make decisions concerning the child’s welfare in the absence of the parent or legal guardian.
Below, please find the necessary fields to complete this document. Ensure that all sections are filled out carefully.
Principal Information (Parent/Guardian):
- Full Name: _______________________________
- Address: _______________________________
- City, State, Zip Code: _______________________________
- Phone Number: _______________________________
- Email Address: _______________________________
Agent Information (Person Given Authority):
- Full Name: _______________________________
- Address: _______________________________
- City, State, Zip Code: _______________________________
- Phone Number: _______________________________
- Relationship to Child: _______________________________
Child Information:
- Full Name: _______________________________
- Date of Birth: _______________________________
- Address (if different from above): _______________________________
This Power of Attorney grants the Agent the authority to:
- Make educational decisions for the Child, including decisions regarding schooling and test taking.
- Provide medical care or consent to medical treatment for the Child.
- Make decisions regarding the Child's welfare, including establishing residence and custody arrangements.
- Authorize the Child's participation in extracurricular activities.
Effective Date: This Power of Attorney shall be effective immediately and shall remain in effect until _______________________ (insert date or event that will terminate the authority).
Each party acknowledges and agrees to the terms laid out above. This agreement has been signed voluntarily, and both the Principal and the Agent attest to their legal capacity to enter into this Power of Attorney.
Signature of Principal: _______________________________ Date: _______________________________
Signature of Agent: _______________________________ Date: _______________________________
Witnessed by:
Witness Name: _______________________________ Date: _______________________________
Witness Signature: _______________________________
This document must be signed in the presence of a notary public or two witnesses who are not related to the Principal or Agent.