This Florida Power of Attorney for a Child document is designed to grant temporary custodial and legal authority of a minor child to an appointed adult. This power is governed by the relevant sections of Florida law. It allows the designated adult to make decisions regarding the child's education, health care, and other welfare matters in the absence or unavailability of the child's parent(s) or legal guardian(s).
Complete the information below to execute a valid power of attorney in the State of Florida.
Child's Full Name: ___________________________________
Child's Date of Birth: _______________________________
Parent(s)/Guardian(s) Full Name(s): _____________________________
Designated Adult's Full Name: ______________________________
Designated Adult's Relationship to Child: ____________________
Effective Date of Power of Attorney: ________________________
End Date of Power of Attorney (if applicable): _______________
Authority Granted to Designated Adult:
- Enrollment and participation decisions regarding the child's education.
- Authorization of medical, dental, and mental health treatments and procedures.
- Participation in extracurricular activities, including sports and field trips.
- Permission to travel with the child for specific events or purposes.
- Any other power the parent(s)/guardian(s) wish to grant, provided it does not violate Florida law.
This Power of Attorney does not grant the designated adult the authority to consent to marriage or adoption of the child.
Signatures:
By signing below, the parent(s)/guardian(s) of the above-named child hereby grant the authority specified in this document to the named designated adult, pursuant to Florida law.
Parent/Guardian Signature: ____________________________________ Date: ___________
Parent/Guardian Signature (if applicable): _________________________ Date: ___________
Designated Adult Signature: __________________________________ Date: ___________
Notarization (if required)
This document was acknowledged before me on ___________________ (date) by _________________________ (name(s) of signatory(ies)).
_________________________________________
Notary Public, State of Florida
My Commission Expires: __________________