Wyoming Durable Power of Attorney for Care of Children

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                             This Durable Power Of Attorney for Care of Children is used by individuals located in
                             Wyoming to appoint an Attorney-in-Fact to take care of the principal's children and to make
                             decisions regarding the children's education and health care. This form grants the
                             Attorney-in-Fact the right to participate in decisions regarding the children's education and
                             health care and to sign documents regarding such matters. The power of attorney
                             becomes effective when the document is executed and remains in effect in event of the
                             principal's incapacity. This document contains some of the standard powers typically
                             included in a power of attorney for care of children, but can be customized to fit the specific
                             needs of the principal.
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            DURABLE POWER OF ATTORNEY FOR CARE OF CHILDREN

KNOW ALL PERSONS BY THESE PRESENTS:

That pursuant to the Wyoming Code I, _______________________________ [Instruction:
Insert the name of the principal] (hereinafter referred to as “Principal”), residing at
______________________________________ [Instruction: Insert the address of principal]
execute this Durable Power of Attorney and do hereby make, constitute, and appoint:
___________________________________ [Instruction: Insert the name of agent] (hereinafter
referred to as “Attorney-in-Fact”), residing at __________________________ [Instruction:
Insert the address of agent], as my Attorney-in-Fact TO ACT IN MY NAME, PLACE, AND
STEAD in any lawful way with respect to the care and custody of my child(ren): [Instruction:
Insert the name of child(ren)]

   a. _______________________________

   b. _______________________________

   c. _______________________________

   d. _______________________________

1. Effectiveness of Power of Attorney: This instrument is to be construed and interpreted as a
   General Durable Power of Attorney for the following purposes:

       a. To participate in decisions regarding my child(ren), his/her/their education, including
          attending conferences with his/her/their teachers or any other educational authorities,
          granting permission for his/her/their participation in school trips and other activities,
          and making any other decisions and executing any documents pertinent to
          his/her/their education.

       b. To endorse and execute any document necessary for the performance of the powers
          granted by this document, including, but not limited to, consent forms, releases,
          waivers, insurance documents, claims, agreements, contracts, and legal documents.

       c. To grant permission and consent to my child(ren) participating in any activity
          sponsored by any group, association, or organization which activity my Attorney-in-
          Fact may deem appropriate.

       d. To make health care decisions on behalf of my child(ren), including making decisions
          regarding his/her/their medical or dental care, whether routine or emergency in
          nature, including admissions to hospitals or other institutions; to consent to, to refuse
          to consent to, or to withdraw consent to the provision of any care, tests, treatment,
          surgery, service, or procedure to maintain, diagnose, or treat a physical or mental
          condition, as well as the right to sign such medical forms as may be necessary to
          carry out such decisions; to talk with health care personnel who may be treating my
          child(ren) and to examine his/her/their medical records and to consent to the
          disclosure of such records in circumstances Attorney-in-Fact may deem appropriate;


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Description: This Durable Power Of Attorney for Care of Children is used by individuals located in Wyoming to appoint an Attorney-in-Fact to take care of the principal's children and to make decisions regarding the children's education and health care. This form grants the Attorney-in-Fact the right to participate in decisions regarding the children's education and health care and to sign documents regarding such matters. The power of attorney becomes effective when the document is executed and remains in effect in event of the principal's incapacity. This document contains some of the standard powers typically included in a power of attorney for care of children, but can be customized to fit the specific needs of the principal.
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