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Caregiver Authorization Letter - Template, Sample Form


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Re: Caregiver Authorization

To Whom It May Concern:

The purpose of this letter is to advise you of the authority given to ________ while taking care of the following child: ________.

This grant of temporary authority shall begin on ________ and shall remain effective until ________.

The above Caretaker shall have the authority to do the following:

-- Pick up child from school and afterschool activities

-- Authorize medical treatments or procedures in an emergency situation

-- Explain child's absences from school

-- Sign release forms for child's participation in sports

-- Sign release forms for child's participation in field trips

If you need any additional information from me, please contact me at the above address or here:

________

Best,



________

Fields you complete are inserted into the document live. This template is general guidance only - not legal advice.