Georgia Power of Attorney for a Child Template
This Power of Attorney is created in accordance with the laws of the State of Georgia. It grants authority to a designated individual to make decisions on behalf of a child.
Principal Information:
- Full Name of Parent/Guardian: ___________________________
- Address: ______________________________________________
- Phone Number: ________________________________________
- Email Address: ________________________________________
Child Information:
- Full Name of Child: ____________________________________
- Date of Birth: ________________________________________
- Address: ______________________________________________
Agent Information:
- Full Name of Agent: ____________________________________
- Address: ______________________________________________
- Phone Number: ________________________________________
- Email Address: ________________________________________
Authority Granted:
The undersigned grants the Agent the authority to make decisions regarding the following:
- Medical care and treatment for the child.
- Education decisions, including enrollment and school-related activities.
- Travel arrangements and permissions.
- General welfare and well-being of the child.
Effective Date:
This Power of Attorney shall become effective on the following date: ______________________.
Duration:
This Power of Attorney shall remain in effect until: ___________________________ or until revoked in writing by the undersigned.
Signature:
By signing below, the undersigned acknowledges and agrees to the terms outlined in this Power of Attorney.
______________________________
Signature of Parent/Guardian
Date: ______________________
Notary Acknowledgment:
State of Georgia, County of ________________
Subscribed and sworn before me this _____ day of ______________, 20__.
______________________________
Notary Public
My Commission Expires: ________________