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Get and Sign Form Power Attorney Minor Child
In nature and only grants such powers upon the
happening of a specified event.
Part I: To be filled out and/or initialed by parent(s).
1. Minor Child’s Name ________________________________________________
2. Mother/Legal Guardian’s Name & Address ______________________________
______________________________
______________________________
3. Father/Legal Guardian’s Name & Address ______________________________
______________________________
______________________________
4. Caregiver’s Name &...
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