Florida Power of Attorney for a Child
This Power of Attorney is executed in accordance with the laws of the State of Florida. It grants authority to the designated agent to make decisions concerning the minor child's welfare.
Principal Information:
- Name of Principal: _____________________________
- Address of Principal: ___________________________
- City, State, Zip: ________________________________
- Phone Number: __________________________________
- Email Address: __________________________________
Child Information:
- Name of Child: _________________________________
- Date of Birth: __________________________________
- Address of Child (if different from Principal): ________________________________
Agent Information:
- Name of Agent: __________________________________
- Relationship to Child: _____________________________
- Address of Agent: ________________________________
- City, State, Zip: ________________________________
- Phone Number: __________________________________
This Power of Attorney grants the Agent the authority to:
- Make educational decisions, including enrollment and school matters;
- Authorize medical care, treatment, and emergency procedures;
- Handle day-to-day care, including activities, transportation, and supervision;
- Make decisions regarding extracurricular activities.
Effective Date:
This Power of Attorney will become effective on: _________________. It will remain in effect until: _________________.
Signature:
By signing below, the Principal acknowledges that they are voluntarily granting this Power of Attorney.
Signature of Principal: ___________________________
Date: __________________________________________
Witnesses:
Witnessing is required by Florida law for this document to be valid.
- Signature of Witness 1: ______________________ Date: ___________
- Signature of Witness 2: ______________________ Date: ___________
Notary Public:
State of Florida
County of ______________
Signed and sworn to before me on this _____ day of ____________, 20___.
Notary Public Signature: ______________________________
My Commission Expires: _______________________________