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    Child Power of Attorney

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    legal
    This document appoints [name] as power of attorney for [name]'s minor child. It grants [name] the authority to make medical decisions, enroll the child in school, obtain aid for the child's welfare, and generally care for the child's support, health and well-being. The power of attorney will be automatically revoked on a specified date unless sooner revoked. The parent does not intend to relinquish their parental rights by signing this document.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Child Power of Attorney

    Uploaded by

    legal
    149 views2 pages
    This document appoints [name] as power of attorney for [name]'s minor child. It grants [name] the authority to make medical decisions, enroll the child in school, obtain aid for the child's welfare, and generally care for the child's support, health and well-being. The power of attorney will be automatically revoked on a specified date unless sooner revoked. The parent does not intend to relinquish their parental rights by signing this document.

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    child power of attorney

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    This document appoints [name] as power of attorney for [name]'s minor child. It grants [name] the authority to make medical decisions, enroll the child in school, obtain aid for the child's welfare, and generally care for the child's support, health and well-being. The power of attorney will be automatically revoked on a specified date unless sooner revoked. The parent does not intend to relinquish their parental rights by signing this document.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    149 views2 pages

    Child Power of Attorney

    Uploaded by

    legal
    This document appoints [name] as power of attorney for [name]'s minor child. It grants [name] the authority to make medical decisions, enroll the child in school, obtain aid for the child's welfare, and generally care for the child's support, health and well-being. The power of attorney will be automatically revoked on a specified date unless sooner revoked. The parent does not intend to relinquish their parental rights by signing this document.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    POWER OF ATTORNEY FOR MINOR

    TO ALL WHOM THESE PRESENTS ARE KNOWN:

    That I, __________________________, having an address at __________________________, being the natu-


    ral mother/father of __________________________, [hereafter the “child”] appoint
    __________________________ having an address at __________________________, my true and lawful at-
    torney in-fact for me and in my name, place and stead and in my behalf, and to do and perform all of the follow-
    ing responsibilities and have all the rights in connection therewith:

    1. Perform and act as and for me in a parental capacity as and to the child;

    2. Give consent and permission for any kind of medical care and treatment, and to sign any papers to have the
    child admitted to a hospital for such purpose, or as may be required to maintain the health of the child;

    3. Give consent and permission for enrollment in and admission to school and to resolve problems arising from
    school attendance, and to sign any papers necessary for such purpose or sign other documents relating to the
    child's welfare at school;

    4. Perform any act necessary to obtain relief or aid that might benefit the child;

    5. Perform any other acts for support, health, and general care of the child as may be required or necessary.

    6. I, __________________________, do hereby give and grant to __________________________, my said at-


    torney-in-fact, full power and authority to do and perform any and all acts required to protect and promote the
    welfare of the child, as fully and for all intents and purposes as I might or could do if I were personally present
    at the time thereof, hereby ratifying and confirming all that my said attorneys may or shall lawfully do or cause
    to be done by virtue of this Power of Attorney and the rights and powers herein granted. If you decide to include
    a date of revocation, include paragraph number 7.

    7. This Power of Attorney appointing __________________________ as my agent and attorney in fact per-
    forming and acting for me in a parental capacity for my child, __________________________ will be revoked
    automatically on the _______________.

    8. It is not my intention to relinquish my parental rights in and to my child.

    IN WITNESS WHEREOF, I have affixed my signature on this __________________ day of


    __________________.

    _____________________________________
    (Parent Name)

    Notarization

    State of _______________________________

    County of ____________________________

    On this the ________ day of __________________, 20__, before me, the undersigned, a notary public in and
    for said County and State, personally appeared _______________________________, personally known to me
    (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to
    the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized ca-
    pacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or entity upon behalf of which
    the person(s) acted, executed the instrument.

    WITNESS my hand and official seal.

    Page 1
    _____________________________________
    (Signature of Notary)

    Notary Public for the State of _____________________

    Date of Expiration: _____________________

    (Seal)

    Page 2

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