Texas Power of Attorney for a Child
This document serves as a Power of Attorney for a Child as permitted under Texas law. It allows you to designate an individual to make decisions on behalf of your child for a specified period.
Please fill in the blanks with the appropriate information.
Principal Information:
- Parent/Guardian Name: _____________________________
- Address: ______________________________________
- City: _______________________
- State: _____________
- Zip Code: ______________
- Phone Number: ________________
Child Information:
- Child's Name: _____________________________
- Date of Birth: _____________________________
Agent Information:
- Agent Name: _____________________________
- Address: ______________________________________
- City: _______________________
- State: _____________
- Zip Code: ______________
- Phone Number: ________________
Authority Granted:
The Agent shall have the authority to make decisions regarding the above-named child's care, including but not limited to:
- Medical decisions.
- Educational decisions.
- Travel arrangements.
Effective Date:
This Power of Attorney shall become effective on _________________ and shall remain in effect until _________________ or until revoked by the Parent/Guardian.
Revocation:
This Power of Attorney may be revoked at any time by the Parent/Guardian, provided written notice is given to the Agent.
Signature:
By signing below, I declare that I am the Parent/Guardian of the child named above and that I voluntarily grant this Power of Attorney.
Parent/Guardian Signature: ______________________ Date: _______________