Arkansas Power of Attorney for a Child
This document serves as a Power of Attorney for a Child in the state of Arkansas. It allows a parent or legal guardian to designate another individual to make decisions on behalf of their child. This form complies with Arkansas laws regarding the delegation of parental authority.
Principal Information:
- Full Name of Parent/Guardian: _______________________________
- Address: _________________________________________________
- City, State, Zip Code: ______________________________________
- Phone Number: ____________________________________________
Agent Information:
- Full Name of Agent: ________________________________________
- Address: _________________________________________________
- City, State, Zip Code: ______________________________________
- Phone Number: ____________________________________________
Child Information:
- Full Name of Child: ________________________________________
- Date of Birth: ____________________________________________
- Address: _________________________________________________
Authority Granted:
The undersigned grants the Agent the authority to make decisions regarding the following:
- Medical care and treatment for the child.
- Educational decisions, including school enrollment.
- Travel arrangements and permissions.
- General welfare and care of the child.
Effective Date:
This Power of Attorney shall become effective on the following date: ________________________.
Duration:
This Power of Attorney will remain in effect until: ________________________ or until revoked in writing by the Principal.
Signature:
By signing below, the Principal affirms that they are the legal parent or guardian of the child and have the authority to grant this Power of Attorney.
Signature of Parent/Guardian: _______________________________
Date: ______________________________________________________
Witness Information:
Witness Name: ____________________________________________
Signature of Witness: ______________________________________
Date: ______________________________________________________
This form should be signed in the presence of a witness to ensure its validity under Arkansas law.