Free Power of Attorney for Care of a Minor Child

A Power of Attorney for Care of a Minor Child is used to allow the individual you appoint to make decisions for your minor children. The person granted the power can legally make important decisions regarding the child's education and health care. This power of attorney can be granted for a limited period of time or revoked at any time.

Disclaimer:This was not drafted by an attorney & should not be used as a legal document.

Minor Child’s Name   ________________________________________________

Mother/Legal Guardian’s Name & Address   ________________________________________

Father/Legal Guardian’s Name & Address    ________________________________________

Caregiver’s Name & Address                         ________________________________________

The purpose of this Power of Attorney is for the following reasons;



Temporary care-giving authority regarding the minor child is being given to the caregiver because of the following:


I/We the undersigned, authorize the named caregiver to do one or more of the following:

(____) enroll the child in school and extracurricular activities (including but not limited to Boy Scouts, Boys & Girls Club),

(____) obtain medical, dental, and mental health treatment for the child, and

(____) provide for the child’s food, lodging, housing, recreation and travel.

______________________________                        ______________

Parent/Legal Guardian                                                Date

The Parent/Legal Guardian, ______________________, personally appeared before me this _____ day of ____________, 200__.



Notary Public

My commission expires:___________________



The forms on this site are provided "As-Is." By using these forms you agree that you are using them at your own risk. Most of the free forms are not prepared by an attorney and may need substantial modification. Additional disclaimers can be found in our Terms of Use.