MISSOURI MINOR (CHILD) POWER OF ATTORNEY
TO ALL WHOM THESE PRESENTS ARE KNOWN:
That I, ___________________ (Parent), of _________________ County,
Missouri, being the natural mother/father of [hereafter the “child”] appoint
________________________ (Name of the Agent) of _________________________ ,
County, Missouri, my true and lawful attorney-in-fact for me and in my name, place and
stead and in my behalf, and to do and perform all of the following responsibilities and
have all the rights in connection therewith:
(1) Perform and act as and for me in a parental capacity as and to the child;
(2) Give consent and permission for any kind of medical care and treatment, and to
sign any papers to have the child admitted to a hospital for such purpose, or as
may be required to maintain the health of the child;
(3) Give consent and permission for enrollment in and admission to school and to
resolve problems arising from school attendance, and to sign any papers
necessary for such purpose or sign other documents relating to the child's
welfare at school;
(4) Perform any act necessary to obtain relief or aid that might benefit the child;
(5) Perform any other acts for support, health, and general care of the child as may
be required or necessary.
(6) I, ______________________ (Parent), do hereby give and grant to
_______________________ (Name of Agent) my said Attorney-in- fact, full
power and authority to do and perform any and all acts required to protect and
promote the welfare of the child, as fully and for all intents and purposes as I
might or could do if I were personally present at the time thereof, hereby ratifying
and confirming all that my said Attorneys may or shall lawfully do or cause to be
done by virtue of this Power-of-Attorney and the rights and powers herein
granted.
(If you want a revocation date in advance)
