Louisiana Power of Attorney for a Child
This Power of Attorney is executed in accordance with the laws of the State of Louisiana.
This document grants authority to the designated agent to make decisions regarding the care and custody of the child named below. It is important to complete all sections accurately.
Principal Information:
- Full Name of Parent/Guardian: __________________________
- Address: _____________________________________________
- Phone Number: ______________________________________
Agent Information:
- Full Name of Agent: _________________________________
- Address: _____________________________________________
- Phone Number: ______________________________________
Child Information:
- Full Name of Child: _________________________________
- Date of Birth: ______________________________________
Authority Granted:
The agent is granted the authority to:
- Make decisions regarding the child’s education.
- Provide consent for medical treatment.
- Make decisions regarding the child’s welfare and living arrangements.
- Authorize participation in extracurricular activities.
This Power of Attorney shall be effective from the date of signing until ______________ (insert expiration date or condition for termination).
Signatures:
By signing below, the Principal acknowledges that they are granting the above authority to the Agent.
______________________________
Signature of Parent/Guardian
Date: ______________________
______________________________
Signature of Agent
Date: ______________________
This document must be notarized to be valid.