(This form is used for a parent to state their preferences for the persons to be guardians of their children if they die or become incapacitated. This form is designed for a single custodial parent, or two parents, to designate whom they would like to care for their minor children, as well as take over administering any property belonging to the children.)
Whereas, [Name] and [Name], are the parent and natural guardians of the following child(ren):
Names(s)
I designate [Name] of _____________________, [Address] to act as guardian of the minor child(ren) stated above upon my incapacity to so act.
Should [Name] be unable or unwilling to serve, I nominate [Name] of _____________________, [Address] to act as the guardian of the minor children in the place of [Name].
Upon my disability, the designated guardian shall have the following authority:
a) residential custody of the minor child(ren);
b) to approve medical treatment of any kind or type or to disapprove the same within the bounds of the law;
c) to designate schooling for the minor children, and access to any and all of their educational records;
d) to generally act in loco parentis.
In the event that I am the custodian of any property for the minor children under the...
(Excerpt)
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