Virginia Power of Attorney for a Child
This Power of Attorney for a Child is a legal document governed by the Virginia Code. It allows parents or guardians to designate another person to make decisions regarding the child’s care, education, and welfare. Please complete the information below to formalize this arrangement.
Principal Information
- Parent/Guardian Name: ___________________________
- Address: ________________________________________
- City: _______________________ State: ____________ Zip: ___________
- Phone Number: _________________________
- Email Address: _____________________________
Agent Information
- Agent Name: ____________________________________
- Address: ________________________________________
- City: _______________________ State: ____________ Zip: ___________
- Phone Number: _________________________
- Email Address: _____________________________
Child Information
- Child's Name: __________________________________
- Date of Birth: ________________________________
- Address: ________________________________________
Authority Granted
The undersigned parent/guardian hereby grants the agent the authority to make decisions regarding the child, which includes but is not limited to:
- Medical care and treatment.
- School enrollment and educational decisions.
- Travel and relocation decisions.
- General welfare and emotional support.
This Power of Attorney is effective from the date signed until _______________, unless revoked earlier by the principal.
Signatures
By signing below, the principal affirms that they understand and consent to the terms of this Power of Attorney for the Child.
______________________________
Parent/Guardian Signature
Date: _______________
______________________________
Agent Signature
Date: _______________