Guardian of Minor Children, Conditional

Whereas, ___________________________ is the parent and natural guardian of the

following child(ren): __________________________________________________

I designate _____________________ of _________________, _____________, _____,

to act as guardian of the minor child stated above.

The designated guardian shall have the following authority:

a) Residential custody of the minor child;
b) Approve medical treatment of any kind or type or to disapprove the same within the bounds of the law;
c) Designate schooling for the minor children, and access to any and all of their educational records;
d) Generally act in loco parentis.

In the event that I am the custodian of any property for the minor children under the Uniform Transfer to Minor's Act, or the Uniform Gifts to Minors Act or similar statute,
I designate the guardian to act as custodian for all such custodial property.

In the event that formal legal proceedings are commenced to establish a guardian for the child(ren), it is my desire that the guardians mentioned herein have priority in appointment.

This Guardian Of Minor Children, Conditional, shall be in effect from __________ to ____________

Dated: __________________________


STATE OF _________
COUNTY OF ________________

Before me, the undersigned authority personally appeared the above signatory (signatories) who acknowledged to me execution of this Guardian Of Minor Children,, Conditional.


Commission Expires: ____________________________________