Temporary Guardianship Agreement Template
Temporary Guardianship Agreement
This Temporary Guardianship Agreement (the “Agreement”) is entered into on [Effective Date], by and between:
Parent(s)/Legal Guardian(s): [Full Names], residing at [Address]
and
Temporary Guardian: [Full Name], residing at [Address].
Child Information:
• Full Name of Child: [Child’s Name]
• Date of Birth: [DOB]
1. Grant of Temporary Guardianship
1.1 Parent(s) voluntarily grant temporary guardianship authority to Temporary Guardian for the period stated herein.
1.2 Authority includes decisions regarding care, medical treatment, education, and general welfare, subject to the scope below.
2. Care Plan Snapshot (Daily Care → Medical → Education → Activities) [Module]
Topic | Child’s Needs/Notes | Guardian Authority | Parent Notification |
Daily Care | [Routine/diet/sleep/other] | [Decide/coordinate] | [Notify [method] if [event]] |
Medical | [Allergies/medications/provider] | [Consent to care] | [Notify parent immediately for emergency] |
Education | [School/contact/needs] | [Enroll/communicate] | [Weekly updates] |
Activities | [Sports/lessons/restrictions] | [Approve/transport] | [Share schedule] |
Topic | Child’s Needs/Notes | Guardian Authority | Parent Notification |
Daily Care | [Routine/diet/sleep/other] | [Decide/coordinate] | [Notify [method] if [event]] |
Medical | [Allergies/medications/provider] | [Consent to care] | [Notify parent immediately for emergency] |
Education | [School/contact/needs] | [Enroll/communicate] | [Weekly updates] |
Activities | [Sports/lessons/restrictions] | [Approve/transport] | [Share schedule] |
Topic
Child’s Needs/Notes
Guardian Authority
Parent Notification
Daily Care
[Routine/diet/sleep/other]
[Decide/coordinate]
[Notify [method] if [event]]
Medical
[Allergies/medications/provider]
[Consent to care]
[Notify parent immediately for emergency]
Education
[School/contact/needs]
[Enroll/communicate]
[Weekly updates]
Activities
[Sports/lessons/restrictions]
[Approve/transport]
[Share schedule]
3. Duration
3.1 Start Date: [Start Date]
3.2 End Date: [End Date]
3.3 Parent Termination Notice: [Written notice method]
4. Rights and Responsibilities
4.1 Routine Decisions: Temporary Guardian may make routine decisions regarding daily care, education, and activities.
4.2 Medical Treatment: Temporary Guardian may authorize medical or dental care, including emergency medical decisions.
4.3 School and Activities: Temporary Guardian may enroll child in school or extracurricular activities as authorized above.
5. Parental Rights
5.1 Retained Rights: This Agreement does not terminate parental rights.
5.2 Parent Communication: [Schedule/method]
Parent’s phone: [Parent’s Phone Number]
Temporary Guardian’s phone: [Guardian’s Phone Number]
Local Contact [Optional]: [Name/Phone/Email]
7. Governing Law
7.1 This Agreement shall be governed by the laws of the State of Florida.
Signatures
Parent/Legal Guardian: _________________________ Date: ____________
Printed Name: ___________________________
Parent/Legal Guardian [If Applicable]: _________________________ Date: ____________
Temporary Guardian: _________________________ Date: ____________
Printed Name: ______________________________
Notary [If Required]: _________________________ Date: ___________
[Notary Seal]
Topic | Child’s Needs/Notes | Guardian Authority | Parent Notification |
Daily Care | [Routine/diet/sleep/other] | [Decide/coordinate] | [Notify [method] if [event]] |
Medical | [Allergies/medications/provider] | [Consent to care] | [Notify parent immediately for emergency] |
Education | [School/contact/needs] | [Enroll/communicate] | [Weekly updates] |
Activities | [Sports/lessons/restrictions] | [Approve/transport] | [Share schedule] |