New Mexico > Local District Court > 11th Judicial District > San Juan County > Civil
Limited Power Of Attorney Delegating Powers Of Parent Or Guardian - New Mexico
| Limited Power Of Attorney Delegating Powers Of Parent Or Guardian Form. This is a New Mexico form and can be used in Civil San Juan County 11th Judicial District Local District Court . |
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ELEVENTH JUDICIAL DISTRICT COUNTY OF SAN JUAN STATE OF NEW MEXICO LIMITED POWER OF ATTORNEY DELEGATING POWERS OF PARENT OR GUARDIAN* Pursuant to Section 45-5-104, NMSA 1978 I, , being acustodial parent of , Social Security No. ,(hereinafter the student), a student to be enrolled in the SchoolDistrict, (hereinafter School District) do hereby delegate to of , New Mexico (hereinafter delegatee), for a period of six months, all of mypowers regarding care, custody, educational decisions, and property of student, including but notlimited to responsibility for the school attendance and conduct of the student, except thatdelegatee shall not have the power to consent to marriage or adoption of a minor ward. Theagreement between the aforementioned parties does not supersede School District Board ofEducation policies, New Mexico Activities Association rules and/or other regulations.I hereby, delegate my power of attorney as stated in the aforementioned agreement and fullyunderstand the terms of the agreement. Print Name Social Security Number Signature of Parent/Guardian Date ACKNOWLEDGMENT STATE OF NEW MEXICO COUNTY OF SAN JUAN The foregoing instrument was acknowledged before me this day of ,20 , by . My Commission Expires: Notary Public<<<<<<<<<********>>>>>>>>>>>>> 2*NOTE: This original document must be filed with the COUNTY CLERKS OFFICE and acopy must be provided to the receiving school. I, hereby acknowledge and understand that I have been delegated the aforementioned power ofattorney as stated in the agreement and fully understand and accept the responsibilities as setforth. Print Name Social Security Number Signature of Student Date
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