Texas Power of Attorney for a Child Form
This Power of Attorney for a Child Form is established in accordance with the Texas Family Code, Section 34.001-34.007, which permits a parent or guardian to grant another individual the authority to make decisions regarding a child's care for a temporary period. This form is designed to allow the designated individual to make decisions related to the child's education, medical care, and other aspects of wellbeing.
Principal Information
Name: ________________________
Address: ________________________
City, State, ZIP: ________________________
Relationship to Child: ________________________
Child's Information
Name: ________________________
Date of Birth: ________________________
Attorney-in-Fact's Information
Name: ________________________
Address: ________________________
City, State, ZIP: ________________________
Relationship to Child: ________________________
This document grants the following specific powers to the Attorney-in-Fact for the care and supervision of the above-named child:
- Authorization to make educational decisions, including but not limited to enrollment in or withdrawal from specific schools or programs.
- Authorization to make medical decisions, including but not limited to, decisions regarding medical, dental, and mental health treatment.
- Authorization to make decisions regarding the child's participation in extracurricular activities, including sports, clubs, and other activities.
- Permission to travel with the child for specific purposes or to specific locations.
Duration of Powers: ________________________
(Note: Under Texas law, this Power of Attorney is not valid for more than one year from the date of its execution, unless both the Principal and Attorney-in-Fact are deployed to a military service outside of the United States.)
Signature Section
Principal's Signature: ________________________ Date: ________________________
Attorney-in-Fact's Signature: ________________________ Date: ________________________
Notarization
This document was acknowledged before me on (date) ______________ by (name of principal) ______________ and (name of attorney-in-fact) ______________.
Name of Notary: ________________________
Notary's Signature: ________________________
Commission Expiration: ________________________
This Power of Attorney for a Child Form must be reviewed and signed in the presence of a notary public to ensure its validity and enforcement under Texas law.