California Power of Attorney for a Child
This Power of Attorney is created under the laws of the State of California. It allows a parent or legal guardian to designate another person to make decisions regarding the care and custody of their child. This document should be completed carefully to ensure that all necessary information is included.
Effective Date: This Power of Attorney shall become effective on _______________ and shall remain in effect until _______________ unless revoked earlier.
Principal: The undersigned parent or legal guardian:
- Full Name: ___________________________________
- Address: ___________________________________
- Phone Number: ___________________________
- Email: ___________________________________
Child: The child for whom this Power of Attorney is granted:
- Full Name: ___________________________________
- Date of Birth: ___________________________
Agent: The individual designated as the Agent to make decisions regarding the child:
- Full Name: ___________________________________
- Address: ___________________________________
- Phone Number: ___________________________
- Email: ___________________________________
The Agent will have the authority to:
- Make decisions related to the child's education.
- Authorize medical treatment for the child in case of emergency.
- Provide care and supervision for the child during the specified period.
- Make travel arrangements for the child.
Signature:
- Parent/Guardian's Signature: _______________________
- Date: ___________________________________
By signing this Power of Attorney, I acknowledge that I am granting the Agent significant authority over the care and custody of my child, and I understand the implications of this decision.
This document must be notarized to be valid:
Notary Public:
- Name of Notary: ___________________________________
- Signature of Notary: _____________________________
- Date: ___________________________________
Witnesses:
- Witness 1 Name: _________________________________
- Witness 1 Signature: __________________________
- Date: ___________________________________
- Witness 2 Name: _________________________________
- Witness 2 Signature: __________________________
- Date: ___________________________________
End of Document.