This Arizona Power of Attorney for a Child template is designed to grant temporary authority to a designated individual (agent) to make decisions for a child in the absence of the child's parents or legal guardians. This document is prepared in accordance with the Arizona Revised Statutes, specifically the sections relevant to power of attorney and guardianship for a minor.
Instructions: Fill in the blanks with the appropriate information. Ensure all details are accurate and reflective of the intentions of the parties involved.
-----------------------
POWER OF ATTORNEY FOR A CHILD
State of Arizona
This Power of Attorney is made on ____ [Date], by ____ [Legal Guardian(s) Name(s)], residing at ____ [Address, City, County, Arizona, Zip Code], herein referred to as the Principal(s), in favor of ____ [Agent's Name], residing at ____ [Address, City, County, Arizona, Zip Code], herein referred to as the Agent.
1. Child Information:
- Full Name: ____ [Child's Full Name]
- Date of Birth: ____ [Child's Date of Birth]
- Primary Residence: ____ [Child's Residence Address]
2. Delegation of Authority:
The Principal(s) delegate(s) to the Agent the power to act on the Principal’s behalf in all matters that pertain to the wellbeing and care of the aforesaid child. This includes, but is not limited to:
- Decision-making concerning medical treatments or healthcare services.
- Enrollment in and withdrawal from educational institutions.
- Authorization to participate in extracurricular activities, including sports.
- Decisions regarding travel and residency.
3. Effective Date and Term:
This Power of Attorney shall become effective on ____ [Effective Date] and, unless earlier revoked by the Principal(s), shall expire on ____ [Expiration Date].
4. Revocation:
This Power of Attorney can be revoked by the Principal(s) at any time by providing written notice to the Agent.
5. Signatures:
IN WITNESS WHEREOF, the Principal(s) have executed this Power of Attorney on the date first above written.
Principal's Signature: ________________________ Date: ________
Agent's Signature: ___________________________ Date: ________
Witness Signature: ___________________________ Date: ________
Notarization (If required by law or desired by the Principal(s))
This document was acknowledged before me on ____ [Date] by ____ [Name(s) of Principal(s)] and ____ [Name of Agent].
Notary Public: ___________________________
My Commission Expires: __________________
-----------------------
This template is a general guide and should be tailored to fit specific circumstances and needs. It is recommended to review the document with a legal advisor to ensure compliance with current Arizona law and its applicability to the individual situation.