New York Power of Attorney for a Child
This Power of Attorney is created in accordance with the laws of the State of New York. It allows a parent or legal guardian to designate another individual to make decisions on behalf of their child.
Principal Information:
- Name of Parent/Guardian: ___________________________
- Address: __________________________________________
- Phone Number: _____________________________________
- Email: ____________________________________________
Child Information:
- Name of Child: ____________________________________
- Date of Birth: _____________________________________
- Address: __________________________________________
Agent Information:
- Name of Agent: ____________________________________
- Address: __________________________________________
- Phone Number: _____________________________________
- Email: ____________________________________________
Authority Granted:
The undersigned grants the Agent the authority to make decisions regarding the following:
- Medical care and treatment for the child.
- Educational decisions, including school enrollment and participation in activities.
- Travel arrangements, including domestic and international travel.
- Any other decisions necessary for the child's welfare.
Effective Date: This Power of Attorney is effective as of ____________ and will remain in effect until ____________ or until revoked in writing.
Signature:
By signing below, I acknowledge that I am the parent or legal guardian of the child named above and that I have the authority to grant this Power of Attorney.
______________________________
Signature of Parent/Guardian
Date: ________________________
Notary Acknowledgment:
State of New York, County of _______________
On this _____ day of ____________, 20___, before me, a Notary Public, personally appeared ________________________, known to me to be the person whose name is subscribed to this Power of Attorney, and acknowledged that they executed the same.
______________________________
Notary Public