CHILD CARE POWER OF ATTORNEY

SECTION 1: IDENTIFICATION OF PARTIES

This Child Care Power of Attorney (POA) is made this [DATE], by and between [YOUR NAME], residing at [YOUR ADDRESS], hereafter referred to as the "Principal", and [ATTORNEY-IN-FACT'S NAME], residing at [ATTORNEY-IN-FACT'S ADDRESS], hereafter referred to as the "Attorney-in-Fact" or "Agent".

SECTION 2: AUTHORITY TO ACT ON BEHALF OF THE CHILDREN

The Principal does, by these presents, appoint the Attorney-in-Fact as the true and lawful attorney for the Principal in the name, place, and stead for the following children: [CHILDREN NAMES], born on [CHILDREN BIRTH DATES].

SECTION 3: SCOPE OF AUTHORITY

The Attorney-in-Fact shall have full power and authority to perform every act necessary and appropriate fully to effectuate the care, custody, and well-being of the children, including but not limited to educational decisions, medical decisions, etc. This authority does not include the ability to consent to marriage or adoption of the children.

SECTION 4: DURATION

This POA is effective from [START DATE] to [END DATE] inclusive unless terminated earlier by revocation by the Principal.

SECTION 5: SIGNATURES

[YOUR NAME]
Date: [DATE]

[ATTORNEY-IN-FACT'S NAME]
Date: [DATE]

_____________________________________________________________________________________

WITNESS ACKNOWLEDGEMENT

We, the undersigned witnesses, hereby acknowledge that the above-named Principal has signed this Power of Attorney in our presence on the date stated above.

Witness 1:

[WITNESS 1 NAME]

Date: [DATE]

Witness 2:

[WITNESS 2 NAME]

Date: [DATE]

_____________________________________________________________________________________

NOTARY ACKNOWLEDGEMENT

On this            day of in the year                , before me, a Notary Public in and for said County and State, personally appeared [YOUR NAME], known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged that they executed the same for the purposes therein contained.

Witness my hand and official seal.

[NOTARY PUBLIC'S NAME]

My Commission Expires:            

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