Georgia Power of Attorney for a Child
This document is a Power of Attorney for the care of a minor child in the state of Georgia. It is designed to give an appointed individual the authority to act on behalf of a child's interests during the specified period.
By executing this Power of Attorney, the parent or guardian grants specific rights to the designated individual, ensuring the child's well-being and safety in their absence.
Please fill in the blanks below with the appropriate information:
- Child's Full Name: ___________________________
- Child's Date of Birth: ______________________
- Parent/Guardian's Full Name: ___________________________
- Parent/Guardian's Address: ___________________________
- Designated Agent's Full Name: ___________________________
- Designated Agent's Address: ___________________________
- Effective Date: ___________________________
- Expiration Date (if applicable): ___________________________
By signing this document, the parent or guardian acknowledges that they are willingly granting the designated agent authority over the care of their child, which may include:
- Making decisions regarding the child's education.
- Arranging for medical treatment.
- Handling other necessary daily care responsibilities.
This Power of Attorney may be revoked at any time by the parent or guardian through a written notice.
Signed this ____ day of ____________, 20__.
Parent/Guardian Signature: ___________________________
Printed Name: ___________________________
Witness Signature: ___________________________
Printed Name of Witness: ___________________________