New York Power of Attorney for a Child
This document grants authority to another person to make decisions on behalf of a minor child. This Power of Attorney is governed by the laws of the State of New York.
By this Power of Attorney, I, _______________________________________, hereby appoint:
1. Name of Agent: ________________________________________________________________
2. Relationship to Child: ______________________________________________________
For the child:
1. Child's Name: _______________________________________________________________
2. Date of Birth: _______________________________________________________________
3. Address: _________________________________________________________________
I grant my Agent the following powers regarding my child:
- To make decisions regarding my child's education.
- To authorize medical treatment for my child.
- To handle legal matters on behalf of my child.
- To perform any acts necessary to effectuate this Power of Attorney.
This Power of Attorney is effective from: __________________________________________________
Signature of Parent/Guardian: ________________________________________________
Date: _________________________________________________________________________
Witness: _______________________________________________________________________
Date: _________________________________________________________________________
Notarization:
State of New York, County of ____________________
On this _____ day of _______________, 20___, before me, the undersigned, a Notary Public, personally appeared ____________________________________, known to me or satisfactorily proven to be the person whose name is subscribed to this instrument, and acknowledged that he/she executed the same for the purposes therein contained.
Notary Public Signature: ________________________________________________
My Commission Expires: ____________________________________________________