Fill and Sign the Fillable Online Townofmarlboroughny Lifeguard Course Form

STATE OF LOUISIANA PARISH OF __________ CUSTODY AGREEMENT BEFORE ME, the undersigned, duly commissioned and qualified Notaries in and for the Parish and State aforesaid personally came and appeared ______________, a resident of __________ Parish, Louisiana, and ______________, a resident of __________ Parish, Louisiana, after being duly sworn did state: ______________, is the maternal Uncle and the duly appointed Tutor of the minor child, ______________, whose date of birth is _______ ___, 20___, and that he has had physical custody of the minor child since the death of the minor child =s mother and that he hereby grants unto ______________, the grandmother and duly appointed Undertutrix of the minor child, the care, custody and control of the minor child, ______________, authorizing ______________ to make all decisions regarding the child =s health, education, and welfare, to include authorizing any type of medical treatment that is necessary, to sign any and all documents that are required on behalf of the minor child. ______________ hereby agrees to accept the custody of the minor child, ______________, and accept full responsibility for same. WITNESSES: ___________________________ _______________________________ ______________ ___________________________ SWORN TO AND SUBSCRIBED before me the _________ day of ____________________, 20___, at ______________, ________. ______________________________ NOTARY PUBLIC My Commission Expires: ________ WITNESSES: ___________________________ _______________________________ ______________ ___________________________ SWORN TO AND SUBSCIRBED before me the ________ day of __________________, 20___, at ________ Parish, Louisiana. _______________________________ NOTARY PUBLIC My Commission Expires: __________