Georgia Power Of Attorney For The Care Of A Minor Child

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GEORGIA POWER OF ATTORNEY FOR THE CARE OF A MINOR CHILD
Notice
(1) The purpose of this Power of Attorney is to give the Grandparent that you designate (The Agent Grandparent) powers to care
for your minor child, including the power to enroll the child in school and in extra curricular school activities; have access to
school records and disclose the contents to others; arrange for and consent to medical, dental, and mental health treatment for
the child; have access to such records related to treatment of the child and disclose the contents of those records to others;
provide for the child’s food, lodging, recreation, and travel; and have any additional powers as specified by the parent.
(2) The Agent Grandparent is required to exercise due care to act in the child’s best interest and in accordance with the Grant of
Authority specified in this form.
(3) A court of competent jurisdiction may revoke the powers of the Agent Grandparent if it finds that the Agent Grandparent is not
acting properly.
(4) The Agent Grandparent may exercise the powers given in this Power of Attorney for the care of a minor child throughout the
child’s minority unless the parent revokes this Power of Attorney and provides notice of the revocation to the Agent
Grandparent or until a court of competent jurisdiction terminates this power.
(5) The Agent Grandparent may resign as Agent and must immediately communicate such resignation to the Parent, and if
communication with such parent is not possible, the Agent Grandparent shall notify child protective services or such
government authority that is charged with assuring proper care of such minor child.
(6) This Power of Attorney may be revoked in writing by any authorizing parent. If the Power of Attorney is revoked, the revoking
parent shall notify the Agent Grandparent, School, Health Care Providers, and Others known to the parent to have relied upon
such Power of Attorney.
(7) If there is anything about this form that you do not understand you should ask a lawyer to explain it to you.
POWER OF ATTORNEY FOR THE CARE OF A MINOR CHILD
POWER OF ATTORNEY FOR THE CARE OF A MINOR CHILD made this
day of
,
.
(1) (A) I,
(insert name and address of parent or parents), hereby appoint
(insert name and address of grandparent to be named as
agent) as attorney in fact (the agent grandparent) for my child
(insert name of child) to act for me and in my name in any way that I could act in person.
(B) I hereby certify that the agent grandparent named herein is the (place a check mark beside the appropriate description):
Biological grandparent;
Step grandparent;
Biological great-grandparent; or
Step great-grandparent.
(2) The agent grandparent may:
(A) Enroll the child in school and in extracurricular activities, have access to school records, and may disclose the contents to
others;
(B) Arrange for and consent to medical, dental, and mental health treatment of the child, have access to such records related to
treatment of the child, and disclose the contents of such records to others;
(C) Provide for the child’s food, lodging, recreation, and travel; and
(D) Carry out any additional powers specified by the parent as follows:
(3) The powers granted above shall not include the following powers or shall be subject to the following rules or limitations (here
you may include any specific limitations that you deem appropriate):
Please be sure to complete page 2 of this document.
Created: July 6, 2016

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