POWER OF ATTORNEY FOR MINOR CHILD

KNOW ALL PERSONS that we, John Smith and Jane Garcia-Smith, of 123 Main Street, Sacramento, California 98765, appoint Frank Garcia and Tina Garcia, of 456 Elm Street, Sacramento, California 98765, to be our lawful attorney-in-fact (the Agent or Attorney-in-Fact) regarding our minor child(ren):

Mia Garcia-Smith born on May 17, 2001 Jimmy Garcia-Smith born on September 3, 2005 We hereby grant to the Attorney-in-Fact, all of our powers regarding the care and custody of the above-named child(ren), except our power to consent to marriage or adoption of our minor child (ren) and our power to sell, transfer, convey or otherwise manage any real or personal property belonging to our minor child(ren), as specified below:
Enroll the child(ren) in school and in extracurricular activities

Have access to school records and participate in decisions regarding the child(ren)s education, including attending parent-teacher conferences Obtain medical, dental, and mental health treatment and make health care decisions on behalf of the child(ren) Provide for the child(ren)s food, lodging, housing, recreation, and travel If it is necessary to reach us at any time while this power of attorney is in effect, we may be reached at: 123 Main Street Sacramento, California 98765 123-456-7890 123-456-9876 The rights, power and authority herein granted shall remain in full force from the date of our incapacitation until one of the following events occurs: 6 months from the start date, terminated as required by state law, or terminated by a written Revocation of Power of Attorney signed by us, whichever happens first. The authority herein granted to our Attorney-in-Fact, is exercisable by him or her, notwithstanding our later disability or incapacity or later uncertainty as to whether we are dead or alive. We hereby release from liability any individual, business, or health care provider providing medical care in reliance on this document from liability relating to acceptance of this form and the Attorneyin-Fact's consent.

IN WITNESS WHERE OF We have hereunto set our signatures this ___day of ____________, 20__.

___________________________________ John Smith

____________________________________ Jane Garcia-Smith

STATE OF CALIFORNIA COUNTY OF Sacramento On ____________________ before me, ________________________________, personally appeared John Smith, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal.

________________________________________ (Notary Seal) Signature of Notary Public STATE OF CALIFORNIA COUNTY OF Sacramento On ____________________ before me, ________________________________, personally appeared Jane Garcia-Smith, proved to me on the basis of satisfactory evidence to be the person (s) whose name is subscribed to the within Power of Attorney for Child and acknowledged to me that he/she executed the same in his/her authorized capacity, and who, being first duly sworn on oath according to law, deposes and says that he/she has read the foregoing Power of Attorney for Child subscribed by him/her, and that the matters stated herein are true to the best of his/her information, knowledge and belief. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal.

________________________________________ (Notary Seal) Signature of Notary Public

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