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1. Identification of Parties: Full legal names, addresses, and relationships of the parent(s)/legal guardian(s) granting authorization and the authorized person(s)

2. Child Information: Full details of the minor child including full name, date of birth, place of birth, and current address

3. Scope of Authorization: Specific powers being granted to the authorized person, including medical decisions, school-related matters, and daily care responsibilities

4. Duration of Authorization: Clear statement of the time period for which the authorization is valid, including start and end dates

5. Emergency Contact Information: Contact details for parents/guardians and other emergency contacts, including phone numbers and email addresses

6. Revocation Rights: Statement of the parents' right to revoke the authorization and the process for doing so

7. Declarations and Signatures: Formal declarations of understanding and agreement, with spaces for dated signatures of all parties

1. Schedule A - Medical Information Form: Detailed medical information form including vaccination records, allergies, medications, and healthcare provider contacts

2. Schedule B - Emergency Contacts List: Comprehensive list of emergency contacts including relationship to child, contact details, and order of priority

3. Schedule C - Daily Care Instructions: Detailed instructions for daily routines, medications, dietary requirements, and other care-related information

4. Appendix 1 - Identity Documents: Copies of relevant identity documents for all parties and the child (passport copies, birth certificates, etc.)