North Carolina Power of Attorney for a Child Template
This Power of Attorney for a Child is a legal document granting authority to an individual (the "Agent") to make decisions and act on behalf of the child (the "Principal"). This document is governed by the laws of the State of North Carolina. Its purpose is to appoint a trusted person to care for the child's well-being in the absence of the parent(s) or legal guardian(s).
Principal Information
Name: ________________________________________
Address: _____________________________________
City/State/ZIP: _______________________________
Phone Number: ________________________________
Email Address: _______________________________
Agent Information
Name: ________________________________________
Address: _____________________________________
City/State/ZIP: _______________________________
Phone Number: ________________________________
Email Address: _______________________________
Child Information
Name: ________________________________________
Date of Birth: _______________________________
Address (if different from Principal): ____________
City/State/ZIP: _______________________________
Terms and Conditions
The Agent is hereby granted the power to act in the best interest of the child regarding matters of health care, education, and other areas necessary for the child's well-being. The specific powers include, but are not limited to, the following:
- Enrolling the child in school and accessing educational records.
- Making medical decisions, including the power to consent to any medical, dental, and mental health treatments.
- Providing for the child’s food, lodging, and travel.
- Acting as the child's legal representative in all matters where parental consent is required.
This Power of Attorney will remain in effect from _________ (start date) to _________ (end date), unless terminated earlier by the Principal in writing.
Signature
Principal's Signature: ________________________ Date: _______________
Agent's Signature: __________________________ Date: _______________
Witness's Signature: ________________________ Date: _______________
This document was executed in accordance with the laws of the State of North Carolina, ensuring the Agent acts within the best interests of the child under their care.