Florida Power of Attorney for a Child Template
This Power of Attorney for a Child document is drafted in accordance with the Florida Statutes, specifically sections that outline the delegations of parental authority under state law. It allows a parent or guardian (the "Principal") to grant authority to another individual (the "Agent") to make decisions and take certain actions on behalf of their child or children.
Principal Information:
Full Name: _________________________________________
Physical Address: ___________________________________
City, State, Zip Code: _______________________________
Phone Number: ______________________________________
Email Address: ______________________________________
Child Information:
Full Name: _________________________________________
Date of Birth: _____________________________________
Agent Information:
Full Name: _________________________________________
Physical Address: ___________________________________
City, State, Zip Code: _______________________________
Phone Number: ______________________________________
Email Address: ______________________________________
This Power of Attorney shall grant the Agent the following powers (check applicable boxes):
- Authority to make educational decisions, including but not limited to, enrollment, school selection, participation in school activities, and access to records.
- Authority to make medical decisions, including but not limited to, medical care, psychiatric treatment, and emergency actions needed for the child's well-being.
- Authority to make decisions regarding travel with the child, both domestically and internationally.
- Authority to act on behalf of the Principal in all matters that relate to the care, custody, and property of the child not otherwise limited by this document.
Term of Power of Attorney:
This Power of Attorney shall commence on __________________ (start date) and shall terminate on __________________ (end date), unless otherwise revoked by the Principal.
State of Florida County of _________________
On this day of ___________, 20____, before me, a Notary Public in and for said State, personally appeared ______________________ (Principal's name), known to me or satisfactorily proven to be the person whose name is subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
Signature of Notary Public: ___________________________
Printed Name: _______________________________________
Commission Number: _________________________________
My Commission Expires: ______________________________
Principal's Signature: _______________________________
Date: ______________________________________________
Agent's Signature: ___________________________________
Date: ______________________________________________
Instructions for Use:
1. Fill in all blanks with accurate information pertaining to the Principal, child, and Agent.
2. Review the powers granted to the Agent carefully. Check all boxes that apply to the authorities you wish to grant.
3. Ensure that the document is signed in the presence of a Notary Public to be legally binding under Florida law.
4. Consider giving copies of the signed document to the Agent, any institutions that may need it (schools, medical facilities), and keeping a copy for your records.
This template is provided for informational purposes and should be reviewed by a legal professional to ensure compliance with current Florida laws and suitability for your specific needs.