Georgia Power of Attorney for a Child
This Power of Attorney for a Child document allows a parent or guardian to grant certain powers regarding the care and custody of a child to another individual. This is in accordance with the laws of the State of Georgia. It is intended for use only when the parent or guardian anticipates a temporary absence and wants to ensure their child is cared for in their stead.
Please complete the following information:
Parent/Guardian Full Name: ___________________________________
Parent/Guardian Address: _____________________________________
City: ___________________________, State: GA, Zip Code: ________
Child's Full Name: ___________________________________________
Child's Date of Birth: ________________________________________
Attorney-in-Fact Full Name: __________________________________
Attorney-in-Fact Address: ____________________________________
City: ___________________________, State: GA, Zip Code: ________
Powers Granted: The parent/guardian grants the following powers to the attorney-in-fact for the care of the child named above:
- To seek and provide medical and dental care
- To enroll the child in school and extracurricular activities
- To make travel arrangements for the child
- To access the child's records (medical, educational, etc.)
These powers will begin on _________ [Insert Date] and will end on _________ [Insert End Date], unless otherwise terminated by the parent or guardian.
State Specific Acknowledgement (Georgia): This document is in compliance with the Georgia Code, and it is understood that the powers granted by this document shall be exercised according to the laws of the State of Georgia. It's necessary for the proper execution of this Power of Attorney for it to be notarized. Georgia law requires that this document be signed in the presence of a notary public and two witnesses.
In witness whereof, the undersigned have executed this Power of Attorney on this day: ____________ [Insert Date]
Parent/Guardian Signature: _______________________________
Attorney-in-Fact Signature: ________________________________
Witness #1 Signature: ____________________________________
Witness #2 Signature: ____________________________________
Notary Public: ___________________________________________
Date: ____________ [Insert Date]
This document was prepared under the guidelines of the Georgia Code and is intended for temporary use. It is advised to consult with a legal professional if the need arises for a more permanent solution or if there are any questions regarding this document.