Legal Guardianship Instructions

LEGAL GUARDIANSHIP INSTRUCTIONS

This Legal Guardianship Instructions is made on by Parent/Legal Guardian: of Address: (hereinafter "Grantor") in favor of Designated Guardian: of Address: (hereinafter "Guardian"). The minor child subject to these instructions is: , born on .

RECITALS

WHEREAS, Grantor is the legal parent or lawful guardian of the minor child named above and has authority to direct the minor's care and personal welfare; and

WHEREAS, Grantor desires to provide written instructions and to designate the Guardian to exercise the responsibilities and authority set forth below in the event Grantor is unable, unavailable, or temporarily incapacitated; and

WHEREAS, these instructions are intended to supplement any guardianship order, power of attorney, or other legal instrument and to set forth Grantor's expressed wishes concerning the care, custody, medical treatment, education, travel, and limited financial responsibilities of the Guardian.

NOW, THEREFORE

Grantor and Guardian agree as follows:

1. APPOINTMENT AND EFFECTIVE DATE

1.1 Appointment. Grantor hereby designates and appoints Guardian to act as legal guardian for the minor child named above with the authority described in this instrument, effective upon the occurrence of any of the following events: Grantor's incapacity, inability to care for the minor, or other event indicated by Grantor at the time of occurrence. The effective date of this appointment is: .

1.2 Authority Subject to Court Orders. The powers granted are subject to any controlling court order and do not substitute for judicial appointment where such appointment is required by law.

2. SCOPE OF AUTHORITY

Guardian shall have the authority to make decisions regarding the minor's personal care and welfare, including but not limited to the matters specifically indicated below. Grantor checks the authorities specifically intended to be granted:

Medical Treatment and Health Care Authority to consent to routine medical, dental, and psychological treatment
Authority to consent to emergency medical treatment necessary to preserve life or health
Authority to consent to major non-emergency surgical procedures (only if checked)

Education and Records Authority to enroll the minor in school and attend school meetings
Authority to access and receive educational and healthcare records

Care, Travel, and Custody Authority for routine local travel with the minor
Authority for short-term out-of-state travel with the minor
Authority for international travel with the minor (only if checked)

3. LIMITATIONS ON AUTHORITY

3.1 The Guardian shall not, without express written authorization from Grantor or authorization by court order, consent to the adoption of the minor, change the minor's legal name, or permanently relocate the minor's primary residence outside the state of the minor's current residence.

Guardian may pay routine living expenses and educational costs from Grantor-provided funds
Guardian may manage a minor's custodial accounts on behalf of the minor (only if checked and subject to applicable custodial law)

4. MEDICAL AND EMERGENCY INFORMATION

5. EDUCATION, RELIGION, AND PREFERENCES

Grantor's preferences for education and religious upbringing are stated below. These preferences are non-binding wishes intended to guide the Guardian's decision-making where practical and in the minor's best interests.

6. NOTICE, REPORTING, AND RECORDS

6.1 Guardian shall notify Grantor at the address provided in this document of the minor's location and significant changes in health or education within days of the event unless Grantor is unavailable.

6.2 Guardian shall keep reasonably detailed records of major decisions, expenditures from any funds provided by Grantor, and medical treatments, and shall make such records available to Grantor upon request.

7. TERM, REVOCATION, AND TERMINATION

7.1 This appointment and these instructions shall remain in effect until revoked in writing by Grantor, superseded by a court-appointed guardian, or until the minor reaches the age of majority under controlling law.

7.2 Grantor may revoke or amend these instructions at any time by providing written notice to the Guardian; revocation or amendment is effective upon delivery of written notice to the Guardian or upon such later date as Grantor specifies in the revocation.

8. NOTICES

9. AMENDMENT, WAIVER, AND COUNTERPARTS

9.1 Amendment. These instructions may be amended only by a written instrument signed by Grantor and acknowledged by Guardian. Any amendment must specifically state the sections being amended.

9.2 Waiver. The failure of any party to enforce a provision of these instructions shall not constitute a waiver of that provision or of the right to enforce the provision in the future.

9.3 Counterparts. This document may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument.

10. GOVERNING LAW, ENTIRE AGREEMENT, AND SEVERABILITY

10.1 Governing Law. These instructions shall be governed by and construed in accordance with the laws of the state in which the minor child primarily resides at the time these instructions become effective.

10.2 Entire Agreement. This instrument contains the entire agreement of the parties with respect to the matters set forth herein and supersedes all prior oral or written statements or agreements concerning the subject matter.

10.3 Severability. If any provision of these instructions is determined to be invalid or unenforceable, that determination shall not affect the remaining provisions, which shall continue in full force and effect.

ADDITIONAL INSTRUCTIONS

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