Power of Attorney for a Child
This Power of Attorney form is intended for use in the state of [STATE]. It grants authority to a designated individual to make decisions on behalf of the minor child named below.
Minor Child Information:
- Name: ________________________________
- Date of Birth: ________________________
- Address: _____________________________
Agent Information:
- Name: ________________________________
- Address: _____________________________
- Phone Number: ________________________
Powers Granted:
- To make educational decisions for the minor child.
- To authorize medical treatment for the minor child.
- To provide for the minor child's general welfare.
This Power of Attorney is effective starting on [START DATE] and will remain in effect until [END DATE] or until revoked by the undersigned in writing.
Parent/Guardian Information:
- Name: ________________________________
- Address: _____________________________
- Phone Number: ________________________
By signing below, I acknowledge that I understand the rights I am granting to the agent mentioned above.
Signature of Parent/Guardian: ______________________
Date: ______________________
Witness Information:
- Name: ________________________________
- Address: _____________________________
- Signature: ___________________________
- Date: ________________________________
This document should be signed in the presence of a witness and/or notary as required by state law. Always consult a legal professional for your individual situation.