Child Care Authorization Letter

[Your Full Name]
[Your Address]
[City, State, Zip Code]
[Your Email Address]
[Your Phone Number]

[Caregiver’s Full Name]
[Caregiver’s Address]
[City, State, Zip Code]

Subject: Authorization for Child Care

Dear [Caregiver’s Full Name],

I, Santiago Petty, residing at [Your Address], hereby grant [Caregiver’s Full Name] of [Caregiver’s Address], the authority to act as the temporary guardian of my child, [Child’s Full Name], born on [Child’s Date of Birth], for the period starting from [Start Date] to [End Date].

This authorization includes, but is not limited to, the following responsibilities:

  • Making decisions regarding the day-to-day care and activities of [Child’s Full Name].
  • Authorizing medical treatment or emergency medical services as needed, including hospital visits and decisions regarding medications and medical procedures.
  • Participation in educational activities and decisions, including school trips and extracurricular activities.

[Caregiver’s Full Name] will have the authority to act in the best interest of my child during my absence and is authorized to sign documents related to the child’s care and medical needs.

Please note that this letter serves as a formal authorization for [Caregiver’s Full Name] to undertake responsibilities concerning the welfare and safety of [Child’s Full Name]. Attached to this letter is a copy of [Child’s Full Name]’s medical insurance card, a list of allergies or medical conditions, and emergency contact information.

I trust [Caregiver’s Full Name] to provide the best care for [Child’s Full Name] and ensure their well-being during my absence. Should there be any concerns or the need for further clarification, I can be reached at [Your Phone Number] or via email at [Your Email Address].

Thank you for your attention to this matter and for ensuring the safety and care of my child.


[Your Signature]
Santiago Petty

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