New Hampshire Power of Attorney for a Child
This document grants authority to a designated individual to act on behalf of a child, in accordance with New Hampshire state laws.
Principal Information:
- Full Name of Parent/Guardian: _____________________________
- Address: _________________________________________________
- Email: ____________________________________________________
- Phone Number: _____________________________________________
Child Information:
- Full Name of Child: _______________________________________
- Date of Birth: ___________________________________________
Agent Information:
- Full Name of Designated Agent: ___________________________
- Address: _________________________________________________
- Email: ____________________________________________________
- Phone Number: _____________________________________________
Authority Granted:
The Principal grants the Agent the authority to make decisions regarding:
- Healthcare and medical treatment for the child
- Educational decisions, including school enrollment and activities
- Travel arrangements and permissions
- Financial decisions related to the child's needs
This Power of Attorney will remain in effect until Expiration Date: ________________ or until revoked in writing by the Principal.
Signature: ____________________________________
Date: _______________________________________
Witnesses:
- Name of Witness 1: ___________________________
- Signature of Witness 1: ______________________
- Name of Witness 2: ___________________________
- Signature of Witness 2: ______________________