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Oklahoma of person taking acknowledgment (Notary Public) _________________________________ Name typed, printed, or stamped -4- ) years of age or over, and that neither of them is related to the principal by blood or marriage, or related to the attorney-in-fact by blood or marriage. _________________________________ Signature s willingly and voluntarily made and executed it as the free act and deed of the principal for the purposes expressed in the document, and the witnesses declared to me that they were each eighteen (18cities, and all of these persons being by me duly sworn, the principal declared to me and to the witnesses in my presence that the instrument is his or her power of attorney, and that the principal ha_____________ (principal), ___________________________________ (Witness), and ___________________________________ (Witness), whose names are signed to the foregoing instrument in their respective capa or stamped State of OKLAHOMA ) ) ss County of ________________________ ) Before me, the undersigned authority, on this ______day of _________________, ______, personally appeared ____________________related to the attorney-in-fact by blood or marriage. _________________________________ Signature of person taking acknowledgment (Notary Public) _________________________________ Name typed, printed,poses expressed in the document, and the witnesses declared to me that they were each eighteen (18) years of age or over, and that neither of them is related to the principal by blood or marriage, or sses in my presence that the instrument is his or her power of attorney, and that the principal has willingly and voluntarily made and executed it as the free act and deed of the principal for the pur_____ (Witness), whose names are signed to the foregoing instrument in their respective capacities, and all of these persons being by me -3- duly sworn, the principal declared to me and to the witnety, on this ______day of _________________, ______, personally appeared _________________________________ (principal), ___________________________________ (Witness), and ___________________________________________ * witnesses may not be under 18 or related by blood or marriage to the Principal or Agent State of OKLAHOMA ) ) ss County of ________________________ ) Before me, the undersigned authori_______________________________ Witness Signature*: ___________________________________ Name: ___________________________________ City: __________________________________ State: ______________________ act for the purposes expressed in this document. Witness Signature*: ___________________________________ Name: ___________________________________ City: __________________________________ State: ____r the Care of Children granting to the named attorney-in-fact the power and authority specified in this document, and that he or she has willingly made and executed it as his or her free and voluntary I am not related to the principals by blood or marriage, or related to the attorney-in-fact by blood or marriage. The principals have declared to me that this instrument is their Power of Attorney foher ________________________________ Signature of Mother The principals (father and mother) are personally known to me and I believe them to be of sound mind. I am eighteen (18) years of age or older. date at any time by providing written notice to the Attorney-in-Fact. Signed on ________________ (date), at _______________________ (city), Oklahoma. ________________________________ Signature of Fatof law, any person relying in good faith on the authority of this document, without notice of such termination, shall be held harmless. -2- We may revoke this Power of Attorney before the expirationrevocation. We agree to indemnify the third party for any claims that arise against the third party because of reliance on this power of attorney. If this Power of Attorney is terminated by operation dity. Any third party who receives a copy of this document may act under it. Revocation of the power of attorney is not effective as to a third party until the third party has actual knowledge of the to be invalid, illegal or unenforceable under applicable law, then the remaining unaffected parts of the document shall still remain in full force and effect and not be affected by any partial invalid. The Attorney-in-Fact shall be entitled to reimbursement of all reasonable expenses incurred as a result of carrying out any provision of this Power of Attorney. If any part of this document is heldimport of this grant of powers to the Attorney-in-Fact named herein. We hereby ratify and confirm all acts by the Attorney-in-Fact done by virtue of this power of attorney and the rights hereby granteney shall be in effect from _______________ to _______________ ("expiration date"). By signing here, we indicate that we are fully informed as to the contents of this document and understand the full ning procedures for any child/children; (ii) have the power to consent to the marriage of our child/children; (iii) have the power to consent to the adoption of our child/children. This power of attorts, claims, agreements, contracts and legal documents. Notwithstanding other provisions in this Power of Attorney, Attorney-in-Fact shall not (i) have the authority to withhold or withdraw life sustaince company. 6. Endorse and execute any documents necessary for the performance of the powers granted by this document, including but not limited to consent forms, releases, waivers, insurance documen Apply for, purchase, maintain and/or deal with any health and other insurance for our child/children and to make and file any medical or other type of claim against any health or other type of insuraemand, sue and take any and all legal steps necessary on behalf of our child/children and to adjust, compromise and settle any claim, our child/children may have against any other person or entity. 5.n the customary living standard of the child/children, including, but not limited to, provisions of living quarters, food, clothing, entertainment and other customary matters. -1- 4. Request, ask, dlar activities; review any school records of the child/children; allow our child/children to participate in activities and events offered by any group, organization or educational facility. 3. Maintaince of operations, diagnostic and other procedures. 2. Determine the education of our child/children and to register and enroll our child/children in any educational programs, schools and extracurricuities incident to the provision of medical, surgical or dental care to our child/children. Health care shall include but not be limited to the administration of anesthesia, X-ray examination, performaeeded for such health care; review and if necessary disclose the contents of any medical records; execute any consent, release or waiver of liability required by medical, dental or other health authorto, the powers to: 1. Provide for, approve, authorize and decline any health care at any hospital or other institution; employ any physicians, dentists, nurses, or other person whose services may be nd authority to act entirely in loco parentis and to do all acts necessary or desirable for maintaining the health, education, and welfare of our above named child/children, including, but not limited ______ born on __________ Name: _________________________________ born on __________ Name: _________________________________ born on __________ The above named Attorney-in-Fact shall have the power an_____________________________ born on __________ Name: _________________________________ born on __________ Name: _________________________________ born on __________ Name: ________________________________________________________________________ as our true and lawful agent and attorney-in-fact for us and in our name, and in our behalf to act as the guardian of our minor child/children: Name: ____incipals", maintaining an address at: ________________________________________ hereby make and appoint ________________________________________ ("Attorney-in-Fact") maintaining an address at: ________ KNOW ALL PERSONS BY THESE PRESENTS: We ______________________________________________________ ("Father") and ______________________________________ ("Mother"), jointly referred to as "Parents" or "PrTTORNEY-IN-FACT: By accepting or acting under the appointment, the Attorney-in-Fact assumes the fiduciary and other legal responsibilities of an agent. -3- POWER OF ATTORNEY FOR THE CARE OF CHILDRENscope of this power of attorney document, is legally binding upon you. If you have any questions about these powers, obtain competent legal advice. You may revoke this power of attorney at any time. Ag another person ("Attorney-in-Fact") with the power to handle and control the care, custody, health and welfare of your child/children. Any such action undertaken by the Attorney-in-Fact, within the N! PARENTS: The powers granted by this Power of Attorney for the Care of Children document are broad and sweeping. Before signing this document, consider its consequences. You ("Parents") are providinis general information that is not state specific. Whenever appropriate, the instructions included with the forms packages offered for sale, generally include state specific instructions. -2- CAUTIO a Power of Attorney be witnessed, it is always a very good idea to do so. Please note that this information is not intended as and is not a substitute for legal advice. Furthermore, this information rized, even if your state does not require it. Notarization will make it more difficult for any third party to challenge the validity of the Power of Attorney. Although, some states don't require thatdren has a beginning and an "end/expiration" date, the Parents can revoke the document at any time even before the expiration date. The Power of Attorney for the Care of Children should always be notaentrusted to the Attorney-in-Fact. The Parents should also be careful in instructing the Attorney-in-Fact as to what the Attorney-in-Fact should do. Although the Power of Attorney for the Care of Chilovide this type of document. The Parents should be very careful in the selection of the Attorney-in-Fact, as the powers granted by this document are very broad and sweeping and the children are being id potential problems when, for example, arranging for medical, dental or any other type of care. Medical personnel will also generally feel more comfortable dealing with an Attorney-inFact who can prstody of the children to the Attorney-infact. By having this type of document available, the Attorney-in-Fact will be able to better deal with any types of emergency involving the children and can avo, education and welfare decisions. This can be useful if the parent will be absent for a period of time. The powers granted by this instrument are very broad. Parents are basically giving temporary cuwyer. Almost anyone can be appointed an Attorney-in-Fact by a power of attorney. This form allows the Attorney-in-Fact to make decisions for the children in place of the parents, including health carer Attorney-in-Fact to care for their children. The word "attorney" is not used here to mean "lawyer". The person acting as the Attorney-in-Fact for the Parents or the children does not need to be a lar of Attorney for the Care of Children form can be used. This document allows parents of one or more children (sometimes called the "Principals" or "Grantors") to appoint another person to act as theirms of Use found at findlegalforms.com -1- Information Power of Attorney for the Care of Children Whenever it becomes necessary to allow someone else to provide for the care of your children, a Poweice. These forms should only be a starting point for you and should not be used without consulting with an attorney first. [_] The purchase and use of these forms, is subject to the Disclaimers and Teso be very careful in the selection of the Attorney-in-Fact, as the powers granted by this document are very broad and sweeping. [_] These forms are not intended and are not a substitute for legal adve witnesses may not be under 18 or related by blood or marriage to the Parents or Attorney-in-Fact. [_] The Parents should be careful giving instructions to the Attorney-in-Fact. The Parents should alould keep a copy of the Power of Attorney for the Care of Children document for their records. [_] In Oklahoma, two witnesses also need to sign the Power of Attorney at the same time as the Notary. Thhe Power of Attorney for the Care of Children document before a Notary. [_] The original Power of Attorney for the Care of Children document should be given to the Attorney-in-Fact. [_] The Parents sh3) additional useful information about Power of Attorney for the Care of Children documents. [_] Both Parents need to sign the Power of Attorney for the Care of Children. [_] The Parents should sign tInstructions & Checklist Oklahoma Power of Attorney for the Care of Children [_] This package contains a (1) Power of Attorney for the Care of Children; (2) simple instructions plus a checklist; and ( Oklahoma