Special Power of Attorney, Minors

KNOW ALL MEN BY THESE PRESENTS:  that we, the undersigned, have made, constituted and appointed, and by these presents do make, constitute and appoint Paul Benjamin Moberly our true and lawful attorney, for us, and in our names, and on our behalf, to sign, seal, acknowledge and deliver any instruments of writing or do all such acts which may be necessary and proper to exercise temporary responsibility for our minor son/daughter, so named below, while he/she/they travel to and from Davis, West Virginia, and other sites of work and recreation in and around Parsons, West Virginia, and Davis, West Virginia, from the period on or about June 28, 2023 through June 30, 2023.

Our said attorney is hereby authorized to make decisions for our son/daughter to the same extent as we can, including, but not limited to authorizing and overseeing medical care as necessary.  We hereby declare that all and every of the contracts, deeds, applications, matters and things which shall be by our said attorney given, conveyed or done for the aforesaid purposes shall be as good, valid, and effectual as if they had been signed, sealed, acknowledged and delivered by us in our own proper person, and we hereby undertake at all times to ratify whatsoever our said attorney shall lawfully do, or cause to be done in or concerning the premises by virtue of these presents.

Youth Mission Participant: Waiver

MM slash DD slash YYYY
(Typing your name in this box indicates your consent and agreement that this is your digital signature)