MAKE YOUR FREE Child Care Authorization Form
What is a Child Care Authorization Form?
Create a Child Care Authorization to define the terms when another person can make decisions about your child.
If you want to grant legal authority to make major decisions, create a Power of Attorney for Child instead.
When to use a Child Care Authorization:
- You would like to authorize your child's school to release your child to another individual.
- You would like to give authorization for another individual to make decisions regarding your child in your unexpected absence.
Sample Child Care Authorization Form
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CHILD CARE AUTHORIZATION
I, the undersigned parent or guardian, , of , , , We, the undersigned parents or guardians, and , of , , , , of , , and , of , , , hereby grant , of , , , hereby grant and , of , , , the authority to take temporary care of the below described minor(s): . This grant of temporary authority shall begin on , and shall remain effective through .until terminated by either of the undersigned.
The above named Caretaker(s) shall have the power to:
| - | seek appropriate medical treatment or attention on behalf of the child(ren) as may be required by the circumstances, including but not limited to, medical doctor and/or hospital visits |
| - | authorize medical treatment or medical procedures in an emergency situation |
| - | make appropriate decisions regarding clothing, bodily nourishment, and shelter |
| - | explain absences from school |
| - | pick child(ren) up from school |
| - | sign release forms for sports |
| - | sign release forms for field trips |
| - |
| By: | Date: |
| By: | Date: |
OPTIONAL NOTARY
| _________________________________ |
| _________________________________ |
,
,
Dear :To Whom It May Concern:
The purpose of this letter is to advise you of the authority given to over over and over .
This grant of temporary authority shall begin on and shall remain effective through .until terminated by either of the undersigned.
The above Caretaker(s) shall have the authority to:
| - | seek appropriate medical treatment or attention on behalf of the child(ren) as may be required by the circumstances, including but not limited to, medical doctor and/or hospital visits |
| - | authorize medical treatment or medical procedures in an emergency situation |
| - | make appropriate decisions regarding clothing, bodily nourishment, and shelter |
| - | explain absences from school |
| - | pick child(ren) up from school |
| - | sign release forms for sports |
| - | sign release forms for field trips |
| - |
Thank you for your cooperation in this matter.
Sincerely,
| ____________________________________ | Date: ____________ |
| ____________________________________ | Date: ____________ |
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___Sign this document. This document needs to be signed by:
The Authorization can be signed online. It becomes effective as of the date specified in the document. You may choose to sign your document in front of a notary public. It becomes effective as of the date signed.
___Everyone gets a copy. Anyone named in the document should receive a copy of the signed document. If you sign this agreement online a copy will be securely stored in your account. You can share your document from your account.
