Virginia Power of Attorney for a Child
This Power of Attorney document is created under Virginia state law. It allows a parent or legal guardian to designate a trusted individual to make decisions regarding the care, welfare, and education of a child when the parent or guardian is unavailable.
Principal's Information:
- Name: _____________________________
- Address: ___________________________
- City, State, Zip Code: ______________
Attorney-in-Fact's Information:
- Name: _____________________________
- Address: ___________________________
- City, State, Zip Code: ______________
Child's Information:
- Name: _____________________________
- Date of Birth: _____________________
- Address: ___________________________
Powers Granted: By this document, I grant the following powers to my attorney-in-fact:
- To make decisions regarding the child’s health care.
- To make educational decisions on behalf of the child.
- To authorize and arrange for care and welfare activities for the child.
- To make decisions regarding extracurricular activities.
Duration of Power of Attorney: This Power of Attorney will remain in effect until:
- The child reaches the age of 18.
- A specific date: ________________________.
- I revoke this Power of Attorney in writing.
Signed this ______ day of ______________, 20___.
Principal's Signature: _______________________________
Printed Name: ________________________________________
Witness Signature: ___________________________________
Printed Name: ________________________________________
Notary Public:
State of Virginia
County of ______________________
Subscribed and sworn to before me this ______ day of ______________, 20___.
Notary Public Signature: __________________________
My commission expires: ___________________________