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1. Identification of Parties: Full legal names, addresses, and relationships of parents (grantors), grandparents (attorneys), and the minor child, including all relevant identification numbers

2. Purpose and Duration: Clear statement of the purpose of the power of attorney and its duration, including specific travel dates and destinations

3. Powers Granted: Detailed list of powers granted to the grandparents, including travel authorization, medical decisions, and other necessary authorities

4. Medical Authorization: Specific authorization for medical and emergency treatment decisions

5. Travel Details: Specific information about the planned travel, including dates, destinations, and any specific restrictions or requirements

6. Revocation Clause: Terms under which the power of attorney can be revoked and when it automatically terminates

7. Execution: Signature block for all parties, including space for notarization

1. Schedule A - Child's Information: Detailed information about the minor including full medical history, allergies, and special needs

2. Schedule B - Travel Itinerary: Detailed travel plans including flights, accommodations, and contact information at each destination

3. Schedule C - Medical Insurance Documentation: Copies of relevant insurance cards and policies

4. Appendix 1 - Identification Documents: Copies of passport/ID cards of all parties involved

5. Appendix 2 - Birth Certificate: Copy of the child's birth certificate to prove relationship and parental rights