Parental Consent and Power of Attorney

STATE OF CALIFORNIA
COUNTY OF
UNITED STATES OF AMERICA

I, _____  hereby declare:
1. I am the natural _____/ legal guardian/_____  of _____,  a minor, born _____.
2.  I hereby consent to said minor going to Guyana, South America, to live and be cared for their under the Guardianship or custody of _____.

I hereby appoint _____ of _____, Calif. and _____ of _____, Calif. and _____ or _____ as my attorneys-in-fact, jointly and severally, to take any and all action any of them deemed fit for the welfare of said minor. By this power of attorney, I give each of the aforesaid attorneys-in-fact the right to the care, custody, supervision, and control of said minor anywhere throughout the world, and to travel anywhere with said minor throughout the world.

Executed on this ____ day of _____, 197__, at _____, California
SIGNED _____

Wkr___

Originally posted on February 17th, 2013.

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