New Jersey Power of Attorney for a Child
This document serves as a Power of Attorney in the state of New Jersey and complies with relevant state laws. It designates an individual to act on behalf of the parent or guardian regarding the care and custody of a child.
Principal's Information:
- Full Name: ______________________________
- Address: ______________________________
- City: _____________ State: _________ Zip: ___________
- Phone Number: ______________________________
Agent's Information:
- Full Name: ______________________________
- Address: ______________________________
- City: _____________ State: _________ Zip: ___________
- Phone Number: ______________________________
Child's Information:
- Full Name: ______________________________
- Address: ______________________________
- City: _____________ State: _________ Zip: ___________
- Date of Birth: ______________________________
This Power of Attorney is effective from the date of signing until __________ (date). It grants the Agent the authority to:
- Make decisions regarding the child's education.
- Provide and consent to medical treatment for the child.
- Authorize participation in extracurricular activities.
- Handle any legal matters pertaining to the child.
This Power of Attorney may be revoked at any time by the Principal through a written notice. The notice should be delivered to the Agent.
By signing below, the Principal affirms that they are granting this Power of Attorney voluntarily and understand the rights given to the Agent.
Principal's Signature: ______________________________ Date: _______________
Witness Signature: ______________________________ Date: _______________
Witness Name (printed): ______________________________