Free Power of Attorney for Child Custody Template

Power of Attorney for Child Custody

Prepared by: [YOUR NAME]

This Power of Attorney is created to ensure that my child receives proper care and attention during my temporary absence. By executing this document, I, the parent or legal guardian, am authorizing a trusted individual to temporarily assume responsibility for making decisions regarding the custody and well-being of my child. This arrangement ensures that my child’s best interests are safeguarded while I am unavailable.


II. Parties

  1. Parent/Legal Guardian:
    Full Name: [YOUR NAME]
    Address: [YOUR COMPANY ADDRESS]
    Email: [YOUR EMAIL]
    Phone Number: [YOUR COMPANY NUMBER]

  2. Attorney-in-Fact (Temporary Guardian):
    Full Name: Porter Hoppe
    Address: Nashville, TN 37201
    Phone Number: 222 555 7777


III. Child Information

Child’s Full Name: Davion Barton
Date of Birth: March 15, 2045
Current Address: San Diego, CA 92101


IV. Duration of Power of Attorney

This Power of Attorney will begin on January 1, 2051, and will terminate automatically on December 31, 2051, unless revoked or extended in writing by the parent or legal guardian before this date.


V. Powers Granted

The Attorney-in-Fact is authorized to make decisions concerning the following matters for the child during the duration of this Power of Attorney:

  1. Healthcare: To make medical decisions and provide consent for treatments, surgeries, or any necessary medical care.

  2. Education: To enroll the child in school, attend parent-teacher conferences, and make educational decisions.

  3. Welfare: To provide for the daily needs of the child, including shelter, food, clothing, and recreational activities.

  4. Emergency: To act in emergencies involving the child’s welfare or safety.


VI. Limitations

The Attorney-in-Fact is prohibited from making any decisions that would result in a permanent change in custody or guardianship of the child. This Power of Attorney is strictly for temporary care and does not revoke the parental rights of the parent or legal guardian.


VII. Revocation

This Power of Attorney may be revoked at any time in writing by the parent or legal guardian. If revoked, the revocation will take effect immediately upon the Attorney-in-Fact's receipt of the written notice.


VIII. Signatures

Parent/Legal Guardian:


Full Name: [YOUR NAME]
Date: February 15, 2050

Attorney-in-Fact (Temporary Guardian):


Full Name: Porter Hoppe
Date: February 15, 2050


IX. Notarization

On February 15, 2050, before me, a Notary Public in and for the State of California, personally appeared [YOUR NAME], known to me as the individual who executed this Power of Attorney for Child Custody.


Notary Public Full Name: Barry Morar
Commission Expiry Date: May 30, 2055

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