Arizona Power of Attorney for a Child Template
This Power of Attorney for a Child document is designed to comply with the relevant provisions of the Arizona Revised Statutes, allowing a parent or guardian to grant authority to another individual for making decisions on behalf of their child. Ensure to read through and fill this document accurately to reflect your wishes.
NOTICE: This legal document grants temporary authority to a designated person for specific childcare decisions. It does not provide custody rights. For the handling of legal guardianship or any actions outside the scope of this document, please consult a legal professional.
1. Principal Information
Full Name of Parent/Guardian (Principal): ___________________________________
Principal's Address: ______________________________________________________
Contact Number: _________________________________________________________
2. Child Information
Full Name of Child: ________________________________________________________
Child’s Date of Birth: ______________________________________________________
3. Attorney-in-Fact Information
Full Name of Attorney-in-Fact: ______________________________________________
Address: __________________________________________________________________
Contact Number: ___________________________________________________________
4. Term
This Power of Attorney shall commence on ________________ and will remain effective until ________________, unless revoked earlier by the undersigned in writing.
5. Powers Granted
The following powers are hereby granted to the Attorney-in-Fact:
- Authorization to consent to medical and dental care for the child.
- Permission to make educational decisions, including enrollment and records access.
- Authorization for child to participate in extracurricular activities, including sports.
- Power to make travel arrangements and grant permissions for travel.
- Authority to handle matters related to child's welfare and safety.
6. Signatures
The effectiveness of this document is contingent upon signatures from the necessary parties, acknowledging and accepting the terms as outlined.
Parent/Guardian Signature: _____________________________________ Date: ____________
Attorney-in-Fact Signature: ____________________________________ Date: ____________
Witness Signature (1): __________________________________________ Date: ____________
Witness Signature (2): __________________________________________ Date: ____________
This document has been executed on the date written above, with all parties understanding and consenting to their roles and responsibilities as described.