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South Carolina __ as identification. _________________________________ Signature of person taking acknowledgment (Notary Public) _________________________________ Name typed, printed, or stamped -3- cknowledged before me this _____ day of ____________________, ______ by __________________________ (name of Principal), who is personally known to me or who has produced _______________________________________________ City: __________________________________ State: ___________________________________ State of SOUTH CAROLINA ) ) ss County of ________________________ ) The foregoing instrument was a ___________________________________ City: __________________________________ State: ___________________________________ Witness Signature: ___________________________________ Name: __________________ipal's sight and presence, and in the sight and presence of each other, do hereby subscribe our names as witnesses on the date shown above. Witness Signature: ___________________________________ Name:nce by ____________________________________ (the "Principal"), who declared this instrument to be his/her Power of Attorney for the Care of Children and we, at the Principal's request and in the Princf Parent We, the undersigned, hereby certify that the above instrument, which consists of _______ pages, including the pages which contain the witness signatures, was signed in our sight and the presedate at any time by providing written notice to the Attorney-in-Fact. Signed on ________________ (date), at _______________________ (city), South Carolina. ________________________________ Signature oof law, any person relying in good faith on the authority of this document, without notice of such termination, shall be held harmless. -2- I may revoke this Power of Attorney before the expiration revocation. I 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 idity. 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 thed 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 invaled. 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 hell import of this grant of powers to the Attorney-in-Fact named herein. I hereby ratify and confirm all acts by the Attorney-in-Fact done by virtue of this power of attorney and the rights hereby grantattorney shall be in effect from _______________ to _______________ ("expiration date"). By signing here, I indicate that I am fully informed as to the contents of this document and understand the fuledures for any child/children; (ii) have the power to consent to the marriage of any of the child/children; (iii) have the power to consent to the adoption of any of the child/children. This power of s, 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 sustaining procny. 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 documents, claimr, purchase, maintain and/or deal with any health and other insurance for the child/children and to make and file any medical or other type of claim against any health or other type of insurance compae and take any and all legal steps necessary on behalf of the child/children and to adjust, compromise and settle any claim, the child/children may have against any other person or entity. 5. Apply fohe customary living standard of the child/children, including, but not limited to, provisions of living quarters, food, clothing, entertainment and other customary matters. 4. Request, ask, demand, suvities; review any school records of the child/children; allow the child/children to participate in activities and events offered by any group, organization or educational facility. -1- 3. Maintain tperations, diagnostic and other procedures. 2. Determine the education of the child/children and to register and enroll the child/children in any educational programs, schools and extracurricular acticident to the provision of medical, surgical or dental care to the child/children. Health care shall include but not be limited to the administration of anesthesia, X-ray examination, performance of or 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 authorities inpowers 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 needed fority to act entirely in loco parentis and to do all acts necessary or desirable for maintaining the health, education, and welfare of my above named child/children, including, but not limited to, the lawful agent and attorney-in-fact for me and in my name, and in my behalf to act as the guardian of my above-named minor child/children: The above named Attorney-in-Fact shall have the power and autho on __________ I hereby make and appoint ________________________________________ ("Attorney-in-Fact") maintaining an address at: _____________________________________________________ as, my true and __________________ born on __________ Name: _________________________________ born on __________ Name: _________________________________ born on __________ Name: _________________________________ born and I am the custodial parent having full legal custody of: Name: _________________________________ born on __________ Name: _________________________________ born on __________ Name: _______________RE OF CHILDREN KNOW ALL PERSONS BY THESE PRESENTS: I, ___________________________________________________ ("Parent"), maintaining an address at: ________________________________________. I am an adultent Prepared by: ___________________________ Name: _________________________________________ Address: _______________________________________ Phone:______________________ POWER OF ATTORNEY FOR THE CAthis power of attorney at any time. ATTORNEY-IN-FACT: By accepting or acting under the appointment, the Attorney-in-Fact assumes the fiduciary and other legal responsibilities of an agent. -4- Docum by the Attorney-in-Fact, within the scope 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 equences. You ("Parent") are providing 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 undertakenate specific instructions. -3- CAUTION! PARENT: The powers granted by this Power of Attorney for the Care of Children document are broad and sweeping. Before signing this document, consider its cons advice. Furthermore, this information is general information that is not state specific. Whenever appropriate, the instructions included with the forms packages offered for sale, generally include stlthough, some states don't require that 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 Care of Children should always be notarized, 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. Ae Power of Attorney for the Care of Children has a beginning and an "end/expiration" date, the Parent can revoke the document at any time even before the expiration date. The Power of Attorney for the and sweeping and the children are being entrusted to the Attorney-in-Fact. The Parent should also be careful in instructing the Attorney-in-Fact as to what the Attorney-in-Fact should do. Although thdealing with an Attorney-inFact who can provide this type of document. The Parent should be very careful in the selection of the Attorney-in-Fact, as the powers granted by this document are very broadergency involving the children and can avoid potential problems when, for example, arranging for medical, dental or any other type of care. Medical personnel will also generally feel more comfortable he Parent is basically giving temporary custody of the children to the Attorneyin-fact. By having this type of document available, the Attorney-in-Fact will be able to better deal with any types of emace of the Parent, including health care, 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. T or the children does not need to be a lawyer. 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 pl act as his or her Attorney-in-Fact to care for the child/children on a temporary basis. The word "attorney" is not used here to mean "lawyer". The person acting as the Attorney-in-Fact for the Parente used. This document allows a single parent (sometimes called the "Principal" or "Grantor") of one or more children, who has full/sole legal custody of the child/children to appoint another person toof Children (Single Parent / One Custodial Parent) Whenever it becomes necessary to allow someone else to provide for the care of your children, a Power of Attorney for the Care of Children form can bonsulting an attorney first. -1- [_] The purchase and use of these forms, is subject to the Disclaimers and Terms of Use found at findlegalforms.com -2- Information Power of Attorney for the Care s document are very broad and sweeping. [_] These forms are not intended and are not a substitute for legal advice. These forms should only be a starting point for you and should not be used without ceir records. [_] The Parent should be careful giving instructions to the Attorney-in-Fact. The Parent should also be very careful in the selection of the Attorney-in-Fact, as the powers granted by thiiginal Power of Attorney for the Care of Children document should be given to the Attorney-in-Fact. [_] The Parents should keep a copy of the Power of Attorney for the Care of Children document for thr child/children. [_] In South Carolina, the name of the person who prepared the Power of Attorney for the Care of Children must be indicated in the document in order for it to be recorded. [_] The orcipals were of full age and sound mind. [_] In South Carolina, the Power of Attorney for the Care of Children does not need to be recorded, if it relates solely to the person of the principals or theign his or her name with the Principals and the other witness present. The witnesses should be satisfied that the Principals willingly signed the document as a free and voluntary act, and that the Prin be their Power of Attorney for the Care of Children but the witnesses need not read the Power of Attorney for the Care of Children or know of its contents. [_] In South Carolina, each witness must siy public. [_] In South Carolina, both witnesses must watch both Principals sign this Power of Attorney for the Care of Children. The Principals should verbally declare that the document is intended tobe signed by the Principal who must be of "sound mind" and at least 18 years old. The Power of Attorney must be signed by the Principal in the presence of two DISINTERESTED adult witnesses and a notarone parent with full/sole legal custody) needs to sign the Power of Attorney for the Care of Children. [_] In South Carolina, in order to be valid, the Power of Attorney for the Care of Children must ) simple instructions plus a checklist; and (3) additional useful information about Power of Attorney for the Care of Children - (Single Parent / One Custodial Parent). [_] The Custodial Parent (i.e. Instructions & Checklist South Carolina Power of Attorney for the Care of Children (Single Parent / One Custodial Parent) [_] This package contains a (1) Power of Attorney for the Care of Children; (2 South Carolina