Free Childcare Power of Attorney Form

Please fill out this form completely to grant legal authority over childcare decisions to another individual.
Parent/Guardian Information
Name
Address
Phone number
Child Information
Name
Date of Birth
Address (if different from above)
Authorized Caregiver Information
Name
Relationship to Child
Address
Phone number
Powers Granted
I, as the parent/guardian of the child named above, grant the following powers to the above-named caregiver.
Make healthcare decisions
Enroll the child in school and extracurricular activities
Sign legal documents related to the child's welfare
Effective Date and Duration
Start Date
End Date (if applicable)
This Power of Attorney will remain in effect until revoked
Signature and Authorization
By signing this form, I confirm that I am granting the above powers to the named caregiver and understand the legal implications of this document.
Name:
Date:
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Assign temporary childcare authority with the Childcare Power of Attorney Form Template from Template.net. This fully customizable and editable form allows parents or guardians to grant temporary legal authority over childcare decisions. Easily adjust it using the Ai Editor Tool to include specific care instructions, ensuring proper documentation and legal protection in childcare power of attorney arrangements.