Delegation of Custodial Power by Parent or Guardian
The undersigned, being the parent or guardian of __________________, a minor child residing within the boundaries of _________________________ SCHOOL DISTRICT __________, pursuant to Colorado Revised Statutes, Section 15-14- 105, does hereby designate and appoint ________________________________, whose address is _______, as his true and lawful attorney-in-fact for a period not exceeding twelve months from the date hereof, and conferring upon said attorney-in-fact powers limited to the following:
Any and all power the undersigned may have regarding the care, custody or property of said minor child or ward, except the undersignedís power to consent to marriage or adoption of said minor child or ward, specifically including but not by way of limitation of this power the authority to make all decisions, consents, approvals and authorizations as may be required, appropriate or convenient in connection with said minor child's education in the public schools operated by
_______________________________ SCHOOL DISTRICT __________.
Dated this _______ day of _________, 20 ___.
††††††††††††††††††††††††††††††††††††††††††††††† Parent or guardian
SUBSCRIBED AND SWORN to before me this ________ day of __________, 20___, by _________________________.
Witness my hand and official seal.
My commission expires: ______________________________________________
†††††††††††††††††††††††††††††††††† Notary public