Power of Attorney for Child Custody
Prepared by: [YOUR NAME]
This Power of Attorney is created to ensure that my child receives proper care and attention during my temporary absence. By executing this document, I, the parent or legal guardian, am authorizing a trusted individual to temporarily assume responsibility for making decisions regarding the custody and well-being of my child. This arrangement ensures that my child’s best interests are safeguarded while I am unavailable.
II. Parties
Parent/Legal Guardian:
Full Name: [YOUR NAME]
Address: [YOUR COMPANY ADDRESS]
Email: [YOUR EMAIL]
Phone Number: [YOUR COMPANY NUMBER]
Attorney-in-Fact (Temporary Guardian):
Full Name: Porter Hoppe
Address: Nashville, TN 37201
Phone Number: 222 555 7777
III. Child Information
Child’s Full Name: Davion Barton
Date of Birth: March 15, 2045
Current Address: San Diego, CA 92101
IV. Duration of Power of Attorney
This Power of Attorney will begin on January 1, 2051, and will terminate automatically on December 31, 2051, unless revoked or extended in writing by the parent or legal guardian before this date.
V. Powers Granted
The Attorney-in-Fact is authorized to make decisions concerning the following matters for the child during the duration of this Power of Attorney:
Healthcare: To make medical decisions and provide consent for treatments, surgeries, or any necessary medical care.
Education: To enroll the child in school, attend parent-teacher conferences, and make educational decisions.
Welfare: To provide for the daily needs of the child, including shelter, food, clothing, and recreational activities.
Emergency: To act in emergencies involving the child’s welfare or safety.
VI. Limitations
The Attorney-in-Fact is prohibited from making any decisions that would result in a permanent change in custody or guardianship of the child. This Power of Attorney is strictly for temporary care and does not revoke the parental rights of the parent or legal guardian.
VII. Revocation
This Power of Attorney may be revoked at any time in writing by the parent or legal guardian. If revoked, the revocation will take effect immediately upon the Attorney-in-Fact's receipt of the written notice.
VIII. Signatures
Parent/Legal Guardian:
Full Name: [YOUR NAME]
Date: February 15, 2050
Attorney-in-Fact (Temporary Guardian):
Full Name: Porter Hoppe
Date: February 15, 2050
IX. Notarization
On February 15, 2050, before me, a Notary Public in and for the State of California, personally appeared [YOUR NAME], known to me as the individual who executed this Power of Attorney for Child Custody.
Notary Public Full Name: Barry Morar
Commission Expiry Date: May 30, 2055
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