DIY Legal Forms

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Designation Of Preference For Guardian For Minors

(Nore: This document is used for a parent to state their preferences for the persons to be guardians of their children if they die or become incapacitated. This document is designed for a single custodial parent, or two parents, to designate whom they would like to care for their minor children, as well as take over administering any property belonging to the children.)

Whereas, [Name] and [Name], are the parent and natural guardians of the following child(ren):


I designate [Name] of [Address] to act as guardian of the minor child(ren) stated above upon my incapacity to so act.

Should [Name] be unable or unwilling to serve, I nominate [Name] of [Address], to act as the guardian of the minor children in the place of [Name].

Upon my disability, the designated guardian shall have the following authority:

a) residential custody of the minor child(ren);

b) to approve medical treatment of any kind or type or to disapprove the same within the bounds of the law;

c) to designate schooling for the minor children, and access to any and all of their educational records;

d) to 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 or successor 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, it is my desire that the guardians mentioned herein have priority in appointment.

The failure to list an individual as a guardian or successor guardian is intentional.






This Section for Notary:


STATE OF -------)

) ss: [date]

COUNTY OF ------)

On [Date] before me, [Name of Notary], notary, personally appeared [Name of Person(s) Involved], personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

Witness my hand and official seal.


[Name of Notary Public]

My commission expires: [date]