Official Texas Power of Attorney for a Child Document

Texas Power of Attorney for a Child

This Texas Power of Attorney for a Child is a legal document that grants a person (the "Agent") the authority to make decisions regarding a child (the "Child") in the absence of the child's parent or legal guardian. This form complies with the Texas Family Code Chapter 34, which allows a parent or guardian to authorize a designated person to care for and make decisions about the child temporarily. Please fill in all the blanks with the appropriate information and review thoroughly before signing.

Date of Document Creation: ________________________

The State of Texas
County of ________________________

1. Child's Information:

• Full Name: ________________________
• Date of Birth: ________________________
• Primary Address: ________________________

2. Parent/Guardian's Information:

• Full Name: ________________________
• Relationship to Child: ________________________
• Primary Address: ________________________
• Contact Number: ________________________

3. Agent's Information:

• Full Name: ________________________
• Relationship to Child: ________________________
• Primary Address: ________________________
• Contact Number: ________________________

4. Powers Granted: Hereby, the parent or legal guardian empowers the Agent with full authority to act on behalf of the child regarding:

1. Medical decisions, including any treatment, procedure, or medication administration;
2. Educational matters, including school enrollment, school activities, and access to educational records;
3. Legal matters, excluding the power to consent to marriage or adoption;
4. Travel arrangements within the United States;
5. General welfare, including decision-making regarding extracurricular activities, religious participation, and living arrangements.

These powers are granted beginning on the date of ________________________ and will terminate on ________________________, unless otherwise revoked or extended.

5. Signature of Parent/Guardian:
I, ________________________ [Parent/Guardian's Full Name], hereby declare that I am the legal guardian of ________________________ [Child's Full Name], and grant the above-named Agent the powers specified in this document, under the laws of the State of Texas.

Signature: ________________________
Date: ________________________

6. Signature of Agent:
I, ________________________ [Agent's Full Name], accept the designation as Agent for ________________________ [Child's Full Name] as specified in this document.

Signature: ________________________
Date: ________________________

7. Acknowledgement: This document and all signatures herein are made under penalty of perjury and are to be governed and construed according to the laws of the State of Texas.