Fillable Maryland Power of Attorney for a Child Template

Maryland Power of Attorney for a Child

This Maryland Power of Attorney for a Child allows a parent to grant certain rights and responsibilities regarding their child's care to another person. It is created in accordance with specific provisions found within the Maryland Code. Please complete all relevant sections and ensure it is properly executed to be legally binding.

1. Parties Information

The Parent/Guardian (Grantor): ____________________________ [Full Name]
Address: ____________________________ [Address, City, State, Zip Code]
Phone Number: ____________________________ [Contact Number]
Relationship to Child: ____________________________ [Mother/Father/Guardian]

The Attorney-in-Fact/Agent: ____________________________ [Full Name]
Address: ____________________________ [Address, City, State, Zip Code]
Phone Number: ____________________________ [Contact Number]
Relationship to Child: ____________________________ [Specify Relationship]

Child’s Information:
Full Name: ____________________________ [Full Name]
Date of Birth: ____________________________ [Month, Day, Year]

2. Powers Granted

This document grants the Attorney-in-Fact the authority to make decisions and act on behalf of the child in matters relating to:

• Medical care and treatment decisions
• Education, including the school the child will attend
• Extracurricular activities
• Travel arrangements
• Other: _________________________ [Specify any additional powers]

3. Term

This Power of Attorney shall commence on ______________ [Start Date] and will end on ______________ [End Date], unless revoked earlier by the Parent/Guardian.

4. Signatures

This document must be signed in the presence of a notary public or two witnesses to be legally binding.

Parent/Guardian’s Signature: ____________________________ [Signature]
Date: ____________________________ [Date Signed]

Attorney-in-Fact’s Signature: ____________________________ [Signature]
Date: ____________________________ [Date Signed]

Witness #1 Signature: ____________________________ [Signature]
Printed Name: ____________________________ [Full Name]
Date: ____________________________ [Date Signed]

Witness #2 Signature: ____________________________ [Signature]
Printed Name: ____________________________ [Full Name]
Date: ____________________________ [Date Signed]

Notary Public (if applicable):
Signature: ____________________________ [Signature]
Commission Expires: ____________________________ [Expiration Date]

5. Revocation

The Parent/Guardian may revoke this Power of Attorney at any time by providing written notice to the Attorney-in-Fact and any third parties relying on this document.