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South Carolina entification. _________________________________ Signature of person taking acknowledgment (Notary Public) _________________________________ Name typed, printed, or stamped -4- ged before me this _____ day of ____________________, ______ by __________________________ (name of Principal), who is personally known to me or who has produced ________________________________ as idnowledgment (Notary Public) _________________________________ Name typed, printed, or stamped State of SOUTH CAROLINA ) ) ss County of ________________________ ) The foregoing instrument was acknowled____________ (name of Principal), who is personally known to me or who has produced ________________________________ as identification. _________________________________ Signature of person taking ack________ -3- State of SOUTH CAROLINA ) ) ss County of ________________________ ) The foregoing instrument was acknowledged before me this _____ day of ____________________, ______ by _________________________________________ Witness Signature: ___________________________________ Name: ___________________________________ City: __________________________________ State: ___________________________ur names as witnesses on the date shown above. Witness Signature: ___________________________________ Name: ___________________________________ City: __________________________________ State: ________ to be their Power of Attorney for the Care of Children and we, at the Principals' request and in the Principals' sight and presence, and in the sight and presence of each other, do hereby subscribe o contain the witness signatures, was signed in our sight and the presence by ____________________________________ (father) and __________________________________ (mother), who declared this instrument_____ Signature of Father ________________________________ Signature of Mother We, the undersigned, hereby certify that the above instrument, which consists of _______ pages, including the pages whiche the expiration date at any time by providing written notice to the Attorney-in-Fact. Signed on ________________ (date), at _______________________ (city), South Carolina. ___________________________ed by operation of 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 befornowledge of the revocation. 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 terminaty partial invalidity. 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 kdocument is held 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 ants hereby granted. 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 rstand the full import 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 righs power of attorney 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 undedraw life sustaining 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. Thinsurance documents, 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 withr type of insurance 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, ion or entity. 5. 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 othe Request, ask, demand, 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 perslity. -1- 3. Maintain the customary living standard of the child/children, including, but not limited to, provisions of living quarters, food, clothing, entertainment and other customary matters. 4.and extracurricular 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 facination, performance 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 er health authorities 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 examiervices may be needed 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 othbut not limited to, 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 save the power and 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, ______________________ born on __________ Name: _________________________________ born on __________ Name: _________________________________ born on __________ The above named Attorney-in-Fact shall hdren: Name: _________________________________ born on __________ Name: _________________________________ born on __________ Name: _________________________________ born on __________ Name: ___________ess at: _____________________________________________________ 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/chil"Parents" or "Principals", maintaining an address at: ________________________________________ hereby make and appoint ________________________________________ ("Attorney-in-Fact") maintaining an addrCARE OF CHILDREN KNOW ALL PERSONS BY THESE PRESENTS: We ______________________________________________________ ("Father") and ______________________________________ ("Mother"), jointly referred to as ument Prepared by: ___________________________ Name: _________________________________________ Address: _______________________________________ Phone:______________________ POWER OF ATTORNEY FOR THE e this 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- Docen 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 revoksequences. You ("Parents") 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 undertakate specific instructions. -3- CAUTION! 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 con 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. A Power of Attorney for the Care of Children 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 thend sweeping and the children are being entrusted 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 theling with an Attorney-inFact who can provide 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 aency 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 dearents are basically giving temporary custody 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 emerge of the parents, 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. Par 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 placo appoint another person to act as their 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 oe for the care of your children, a Power 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") ts, is subject to the Disclaimers and Terms of Use found at findlegalforms.com -2- Information Power of Attorney for the Care of Children Whenever it becomes necessary to allow someone else to providre not a substitute for legal advice. These forms should only be a starting point for you and should not be used without consulting with an attorney first. -1- [_] The purchase and use of these formey-in-Fact. The Parents should also 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 ae Attorney-in-Fact. [_] The Parents should keep a copy of the Power of Attorney for the Care of Children document for their records. [_] The Parents should be careful giving instructions to the Attorn Power of Attorney for the Care of Children must be indicated in the document in order for it to be recorded. [_] The original Power of Attorney for the Care of Children document should be given to thrney for the Care of Children does not need to be recorded, if it relates solely to the person of the principals or their child/children. [_] In South Carolina, the name of the person who prepared theses should be satisfied that the Principals willingly signed the document as a free and voluntary act, and that the Principals were of full age and sound mind. [_] In South Carolina, the Power of Attoread the Power of Attorney for the Care of Children or know of its contents. [_] In South Carolina, each witness must sign his or her name with the Principals and the other witness present. The witnesthis Power of Attorney for the Care of Children. The Principals should verbally declare that the document is intended to be their Power of Attorney for the Care of Children but the witnesses need not r the Care of Children must be signed by the Principals in the presence of two DISINTERESTED adult witnesses and a notary public. [_] In South Carolina, both witnesses must watch both Principals sign in order to be valid, the Power of Attorney for the Care of Children must be signed by the Principals (i.e. the Parents) who must be of "sound mind" and at least 18 years old. The Power of Attorney fo and (3) 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. [_] In South Carolina, Instructions & Checklist South Carolina 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; South Carolina