PoA letter -1
I, John Black of [address, Michigan] authorize, Miss. Sally Black of [address, Michigan] as the attorney-in-fact or agent of my blood-related minor child, Jake Black born on January 1, 20xx (DOB). In case Sally is not able to perform her duties, I appoint, Mr. John Bennet of [address, Michigan] as the successor agent.
With the exception of the power to consent to the marriage, adoption as well as transferring or selling any real or personal property in my child’s name, I allow the attorney-in-fact the right to take control of the following matters of my child:
- Granting permission in all sorts of educational decisions (including the right to consent on going to a school trip) as well as attending meetings with my child’s teachers or any other educational authorities.
- Allowing my child some time outside the house for socializing and staying over at friend’s house.
- Making all of my child’s health care (medical, dental, optometric, or mental health care) decisions, whether routine check-ups or those of emergency, including admissions to hospitals or other institutions. Examining my child’s medical records and consenting to the disclosure of those records where the agent thinks if considered appropriate by the agent.
- Executing or acting generally on all other mandatory documents to see to the needs of my child.
The above-mentioned powers shall be granted from this day onwards, dated February 1, 20xx, and shall remain valid till July 30, 20xx (not to exceed these six months) or the day when I sign the Revocation of Power of Attorney.

Document File: 28KB
PoA letter -2
I, Jack Snow of [address, Michigan] am the blood-related father of my minor child, Emma Snow whose date of birth is February 1, 20xx. I appoint, Miss. Jane Snow of [address, Michigan] as my attorney-in-fact or agent for my minor girl.
With the exception of the power to consent to the marriage, adoption as well as transferring or selling any real or personal property in my child’s name, I allow the attorney-in-fact power in the following matters of my child:
- Granting permission in all sorts of decisions related to my child’s educational life (including the right to consent on going to a school trip). The agent shall also be attending meetings with the teachers or any other educational authorities on my behalf.
- Granting consent for my child to participate in any extra-curricular activity which the agent feels are appropriate for his enjoyment and proper mental development.
- Making all sorts of health care (medical, dental, optometric, or mental health care) decisions on behalf of my child, both routine and emergency in nature. Refusing, consenting or withdrawing consent for any care, tests, treatment, and surgery procedure to diagnose or treat physical or mental conditions. Examining my child’s medical records and consenting to the disclosure of those records where the agent thinks it’s appropriate.
The above-mentioned powers shall be granted from this day onwards, dated March 1, 20xx. The letter shall not be considered invalid if I am incapacitated or expire and shall remain valid till August 31, 20xx, or the day when I sign the Revocation of Power of Attorney.

Document File: 28KB