California Power of Attorney for a Child
This Power of Attorney document is executed under the laws of the State of California. It is designed to allow designated individuals to make decisions regarding the care and welfare of the child mentioned herein.
Article I: Child's Information
- Child's Full Name: ________________
- Date of Birth: ________________
- Child's Address: ________________
Article II: Parent/Guardian Information
- Parent/Guardian Name: ________________
- Address: ________________
- Contact Number: ________________
Article III: Designated Agents
The following individuals are designated as agents with the authority to act on behalf of the child:
- Name: ________________
- Relationship to the Child: ________________
- Contact Number: ________________
- Name: ________________
- Relationship to the Child: ________________
- Contact Number: ________________
Article IV: Duration of Power of Attorney
This Power of Attorney shall commence on the _____ day of ____________, 20___, and shall remain in effect until the _____ day of ____________, 20___, unless revoked earlier in writing.
Article V: Special Instructions
Please specify any special instructions regarding the care of the child:
________________________________________________________________
Article VI: Acknowledgment and Signature
By signing below, the parent/guardian affirms that they have full legal authority to execute this document:
______________________________
(Signature of Parent/Guardian)
Date: ________________
Witness: ________________________
(Signature of Witness)
Date: ________________
This document is signed voluntarily. It conveys important responsibilities, and its contents should be understood fully before signing.