North Carolina Power of Attorney for a Child
This Power of Attorney is established in accordance with North Carolina General Statutes, Chapter 32A. This document grants authority to an appointed 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 (if different from above): _______________________
Agent Information:
- Full Name of Agent: _____________________________________
- Address: _______________________________________________
- Phone Number: _________________________________________
- Email Address: _________________________________________
Authority Granted:
The Agent is authorized to make decisions regarding the following:
- Medical care and treatment.
- Education and school-related matters.
- Travel arrangements.
- General welfare and supervision.
This Power of Attorney is effective from the date of signing and will remain in effect until: ______________________ (insert date or condition for termination).
Signatures:
By signing below, the Principal grants the authority as described above.
______________________________
Signature of Parent/Guardian
______________________________
Date
______________________________
Signature of Agent
______________________________
Date