Power of Attorney for a Child
This Power of Attorney for a Child (“Document”) is made this ____ day of ____________, 20__, by:
Principal: ____________ (Parent/Guardian’s Full Name) of Address: ____________, City: ____________, State: ____________, Zip Code: ____________.
Child: ____________ (Child’s Full Name), Date of Birth: ____________, Social Security Number: ____________.
Agent: ____________ (Agent’s Full Name) of Address: ____________, City: ____________, State: ____________, Zip Code: ____________.
This Document is executed pursuant to the laws governing Power of Attorney for Minors in the state of ____________.
I, the Principal named above, hereby designate the Agent to act on my behalf in relation to the care and custody of my Child as follows:
- Emergency Medical Decisions: The Agent has the authority to make necessary medical decisions and obtain medical treatment for my Child.
- School Enrollment: The Agent may enroll my Child in any educational institution.
- Travel Arrangements: The Agent can authorize travel for my Child, including but not limited to school trips.
- Routine Activities: The Agent is permitted to manage the day-to-day activities and care of my Child.
- Financial Decisions: The Agent can make decisions regarding any financial matters affecting my Child, including but not limited to banking and funds.
This Power of Attorney shall remain in effect until revoked by me in writing or until my Child reaches the age of majority. I affirm that I am of sound mind and execute this Document voluntarily.
In witness whereof, I have signed this Power of Attorney this ____ day of ____________, 20__.
Signature of Principal: ___________________________
Printed Name of Principal: _______________________
Witness #1 Name: _______________________________
Signature of Witness #1: _______________________
Witness #2 Name: _______________________________
Signature of Witness #2: _______________________