Georgia Power of Attorney for a Child
This document serves as a Power of Attorney for a Child in accordance with the state laws of Georgia. This form grants authority to the designated individual to act on behalf of the child as specified herein.
1. Principal Information:
- Name of Parent/Guardian: ________________________
- Address of Parent/Guardian: ________________________
- City: ________________________
- State: Georgia
- Zip Code: ________________________
- Phone Number: ________________________
2. Child Information:
- Name of Child: ________________________
- Date of Birth: ________________________
- Address of Child (if different): ________________________
- City: ________________________
- State: ________________________
- Zip Code: ________________________
3. Designated Agent:
- Name of Agent: ________________________
- Relationship to Child: ________________________
- Address of Agent: ________________________
- City: ________________________
- State: ________________________
- Zip Code: ________________________
- Phone Number: ________________________
4. Duration of Power of Attorney:
This Power of Attorney shall commence on ________________________ and will remain in effect until ________________________ or until revoked by the parent/guardian.
5. Powers Granted:
The Agent shall have the authority to:
- Make medical decisions on behalf of the child.
- Enroll the child in school or other educational programs.
- Make decisions regarding the child’s participation in extracurricular activities.
- Provide authorization for travel, including obtaining passports.
- Handle any other matters that may arise in the best interest of the child.
6. Signatures:
By signing this document, I acknowledge that I am granting my designated Agent the powers outlined above.
Signature of Parent/Guardian: ________________________
Date: ________________________
Witness Signature: ________________________
Date: ________________________
Notary Public Signature: ________________________
My Commission Expires: ________________________