New York Power of Attorney for a Child
This document grants temporary authority to an individual, selected by the child's parent(s) or guardian(s), to make decisions regarding the child in their absence. It is governed by the general laws of the State of New York concerning powers of attorney and specific provisions related to the care of minor children.
Please fill in the blanks with the required information to complete the document.
1. Child Information
Full Name of Child: ___________________________
Date of Birth: ___________________________
2. Parent/Guardian Information
Full Name of Parent/Guardian granting this Power of Attorney: ___________________________
Address: ___________________________
Contact Number: ___________________________
3. Attorney-in-Fact Information
Full Name of Person being granted Power of Attorney: ___________________________
Address: ___________________________
Contact Number: ___________________________
4. Term
This Power of Attorney will begin on ___________________________ and, unless revoked earlier by the undersigned, will end on ___________________________ (not to exceed 6 months, in accordance with New York laws).
5. Powers Granted
The Attorney-in-Fact will have the authority to:
- Make decisions regarding the child's education, including but not limited to school enrollment and participation in school activities.
- Authorize medical and dental care, including but not limited to decisions about treatments, hospitalization, and doctors' visits.
- Make decisions regarding day-to-day care, including but not limited to dietary and exercise routines.
This Power of Attorney does NOT grant the Attorney-in-Fact authority to consent to marriage or adoption of the child.
6. Additional Provisions
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
7. Governing Law
This Power of Attorney shall be governed by and construed in accordance with the laws of the State of New York.
8. Signatures
Signed this ____ day of __________, 20____.
Parent/Guardian Signature: ___________________________
Attorney-in-Fact Signature: ___________________________
Witness Signature: ___________________________ (Witness Name: ___________________________)
Note: Depending on the situation and local laws, it might be necessary to have this document notarized to ensure its legality and acceptance by schools, medical providers, and other institutions.