Hawaii Power of Attorney for a Child
This Power of Attorney for a Child document is designed to comply with the Hawaii Revised Statutes. It grants authority to an appointed guardian to make decisions concerning the care and welfare of a minor child. This document does not remove parental rights but allows another individual to act in the parent's stead.
Please complete the following information:
Parent's Full Name: ___________________________________
Parent's Address: _____________________________________
City: _______________________ State: HI Zip: ____________
Phone Number: _________________________________________
Child's Full Name: _____________________________________
Child's Date of Birth: __________________________________
Temporary Guardian's Full Name: _________________________
Temporary Guardian's Address: ___________________________
City: _______________________ State: HI Zip: ____________
Phone Number: _________________________________________
Term:
The term of this Power of Attorney for a Child begins on _______________ and shall end on _______________ unless terminated earlier by the undersigned parent or by court order.
Powers Granted:
This document grants the temporary guardian the following powers:
- To seek medical treatment for the child
- To enroll the child in school and extracurricular activities
- To make travel arrangements for the child
- To handle matters related to the child's property
Additional Notes:
________________________________________________________________
________________________________________________________________
Signature of Parent or Legal Guardian: ___________________________ Date: _______________
Signature of Temporary Guardian: _________________________________ Date: _______________
Witness (1) Signature: ___________________________________________ Date: _______________
Witness (1) Printed Name: _________________________________________
Witness (2) Signature: ___________________________________________ Date: _______________
Witness (2) Printed Name: _________________________________________
Notary Acknowledgement
This document was acknowledged before me on ____________________ (date) by _____________________________ (name(s) of parent or legal guardian).
________________________________________
(Signature of Notarial Officer)
Seal: ___________________________________
This template is provided as a general guide and should not be used as legal advice. Consult with a legal professional before using this document to ensure it meets your specific needs.