Military Deployment Guardianship Appointment Consent Form

Service Member Information

Full Name

Rank

Branch of Service

Contact Number

Deployment Dates Deployment Location

Child(ren) Information

Full Name(s)

Date of Birth

Additional Children (Names & Dates of Birth)

Temporary Guardian Information

Full Name Relationship to Child(ren)

Address

Contact Number

Consent & Authorization

I hereby appoint the above-named individual as temporary guardian of my child(ren) during my military deployment, authorizing them to provide care, make decisions, and act on my behalf as necessary for the well-being of my child(ren). Special Instructions or Limitations

Service Member's Signature Date

Witness Signature Date