[{"id":"35925a04-7d75-4aa1-ae88-b2fa56030e55","order":1,"text":"GUARDIANSHIP CONSENT AND AUTHORIZATION FORM","fontSize":"20","textAlign":"center","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"dc34b251-c3b4-4d2a-be69-6da7da3a36da","order":2,"text":"Temporary Delegation of Parental Authority for the Care of a Minor Child","fontSize":"14","textAlign":"center","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"0d4473eb-6259-4fb8-84f3-9508dc7255f5","order":3,"text":"1. PARTIES","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"14"},{"id":"d3fc6f7f-b82a-4945-a2e2-cdf436c790f1","order":4,"text":"This Guardianship Consent and Authorization (this \"Authorization\") is made by [Full name of parent or legal guardian], the [Relationship to the child] of the Child named below, residing at [Full residential address] (telephone: [Telephone]; email: [Email]) (the \"Consenting Parent\").","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"e6bdc7c1-34f5-46c0-abb4-aa68de8c38fa","order":5,"text":"This Authorization is made jointly with [Full name of second parent or legal guardian], the [Relationship to the child] of the Child, residing at [Full residential address] (telephone: [Telephone]; email: [Email]) (together with the person first named, the \"Consenting Parents\"). Each Consenting Parent confirms that he or she holds lawful custody of, and decision-making responsibility for, the Child and joins in granting this Authorization.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"9ce6e210-8432-4bb6-af3a-04a628292250","value":"1","type":"remove","operator":"="}]},{"id":"cb00ce59-ae61-44a1-a2b1-f5a9ba711c85","order":6,"text":"This Authorization concerns [Full name of the child], born on [Date of birth] at [Place of birth], ordinarily resident at [Residential address of the child] (the \"Child\").","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"d772f3cd-0e6b-4977-bbff-0c997dd6b65c","order":7,"text":"The Consenting Parent(s) hereby appoint and authorize [Full name of the temporary guardian], the [Relationship to the child] of the Child, residing at [Full residential address] (telephone: [Telephone]; email: [Email]) (the \"Temporary Guardian\"), to have the temporary care and custody of the Child and to exercise the authority set out in this Authorization.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"96798679-ca4b-4c6d-ae6d-2eb7775530ec","order":8,"text":"2. CUSTODY AND PARENTING STATUS","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"14"},{"id":"70ca750f-7f26-48a1-afca-a7df1f19b500","order":9,"text":"The Consenting Parent(s) confirm that, to the best of their knowledge, there is no court order, parenting order, custody order or written agreement in effect that governs the custody of, access to, or decision-making responsibility for the Child, or that would prohibit or restrict the delegation of authority set out in this Authorization.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"c89f55ff-9fb9-4e3d-a988-796f9c96bf6a","value":"none","type":"add","operator":"="}]},{"id":"f8085782-d222-4f6f-983a-6f0b60bfdf23","order":10,"text":"The Consenting Parent(s) confirm that any court order, parenting order or written agreement in effect concerning the Child permits the temporary delegation of authority set out in this Authorization, and that nothing in this Authorization is intended to vary, contravene or displace any such order or agreement, which continues in full force and effect.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"c89f55ff-9fb9-4e3d-a988-796f9c96bf6a","value":"order","type":"add","operator":"="}]},{"id":"a2cda449-d4d4-41aa-8478-cb74bcd369ad","order":11,"text":"The Consenting Parent signs this Authorization as the parent having lawful decision-making responsibility for the Child. Where any other person holds custody, access or decision-making responsibility for the Child, namely [Name of the other parent or guardian], the Consenting Parent confirms that he or she is authorized to make the delegation set out herein and undertakes to give that person notice of this Authorization as soon as practicable. This Authorization does not purport to affect the rights of any such person.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true,"displayConditions":[{"field":"c89f55ff-9fb9-4e3d-a988-796f9c96bf6a","value":"sole","type":"add","operator":"="}]},{"id":"4835f066-ea29-43d4-8e97-24874dd591e1","order":12,"text":"3. BACKGROUND AND PURPOSE","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"14"},{"id":"8acb1537-22a9-4399-b407-054d78c41c62","order":13,"text":"The Consenting Parent(s) wish to delegate, on a temporary basis, certain responsibilities relating to the day-to-day care, safety, education, health and welfare of the Child to the Temporary Guardian during the period specified below, so that the Temporary Guardian may act in the best interests of the Child in the Consenting Parent(s)' absence or where the Consenting Parent(s) are otherwise unavailable to do so.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"4cf10d5e-f17e-4877-89af-5039446a6c54","order":14,"text":"4. TERM AND PARENTAL CONTACT","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"14"},{"id":"709fd9e3-881b-4265-9043-a24382abf1fd","order":15,"text":"This Authorization takes effect on [Start date] and remains in effect until [End date], unless earlier revoked in accordance with this Authorization.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"c6e3ceb1-e984-461a-b81c-6f976fc40af0","value":"fixed","type":"add","operator":"="}]},{"id":"a149bfc8-5071-4162-8456-1804d91fdd0c","order":16,"text":"This Authorization takes effect on [Start date] and remains in effect until [Terminating event], unless earlier revoked in accordance with this Authorization.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"c6e3ceb1-e984-461a-b81c-6f976fc40af0","value":"event","type":"add","operator":"="}]},{"id":"076e2f84-8820-4ada-a7c3-de167de922cf","order":17,"text":"During the term of this Authorization the Consenting Parent(s) may be reached as follows: [How and where the parent(s) can be reached]. The Temporary Guardian shall keep the Consenting Parent(s) reasonably informed of the Child's wellbeing.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"37046bf3-5a04-4df1-ad1f-2f8529ffec75","order":18,"text":"The Consenting Parent(s) may revoke this Authorization at any time by written notice delivered to the Temporary Guardian. Upon the expiry or revocation of this Authorization, the Temporary Guardian shall promptly return the Child to the care of the Consenting Parent(s) or to such person as the Consenting Parent(s) may direct.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"22c6a651-0bad-4d32-8dc6-c34d2224d390","order":19,"text":"5. AUTHORITY GRANTED TO THE TEMPORARY GUARDIAN","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"14"},{"id":"3488ec7a-1852-41d9-8d0c-77e357ff5417","order":20,"text":"During the term of this Authorization, the Temporary Guardian is authorized to provide for the day-to-day care, supervision, housing, feeding, comfort and general welfare of the Child, and to make reasonable decisions in the best interests of the Child. In particular, the Temporary Guardian shall have the day-to-day care, control and supervision of the Child, including decisions concerning the Child's residence, routine, discipline, recreation and general welfare.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"12","cflou":false,"active":true},{"id":"7b67719e-3d4e-4217-96f3-9e15ccb691d2","order":21,"text":"Medical and health care. The Temporary Guardian is authorized to consent to and authorize medical, dental, surgical, hospital, psychological and other health care and treatment for the Child, including the administration of anaesthetic and the carrying out of diagnostic procedures, and to consent to emergency medical treatment where, in the opinion of a qualified health professional, delay in obtaining the Consenting Parent(s)' consent would endanger the health of the Child. The Temporary Guardian shall use reasonable efforts to notify the Consenting Parent(s) or the Emergency Contact as soon as practicable of any material medical treatment.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"34ad62ab-4cc3-4572-9916-07e7e468a34e","value":"medical","type":"add","operator":"="}]},{"id":"f2a7a293-e44b-4b5e-805e-229990ffca56","order":22,"text":"Nothing in this Authorization limits the right of the Child, if of sufficient maturity and understanding, to consent to or refuse health care in accordance with applicable law; in that event the Temporary Guardian shall support the Child in obtaining appropriate care.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"34ad62ab-4cc3-4572-9916-07e7e468a34e","value":"medical","type":"add","operator":"="}]},{"id":"6a26dc3e-3900-4188-acff-bf754171f100","order":23,"text":"The Child's regular physician or health care provider is [Physician or health care provider]. A secondary medical contact is [Secondary medical contact]. The Consenting Parent(s) disclose the following known medical conditions, allergies or medications relevant to the Child's care: [Medical conditions, allergies or medications]. The Child's provincial health-card or insurance particulars are: [Health card / insurance particulars].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"12","cflou":false,"active":true,"displayConditions":[{"field":"34ad62ab-4cc3-4572-9916-07e7e468a34e","value":"medical","type":"add","operator":"="}]},{"id":"f535fa30-ff3e-4c7b-b0f0-5494d478cf2b","order":24,"text":"Education and school matters. The Temporary Guardian is authorized to make decisions relating to the education of the Child, including enrolment, registration, attendance and participation in school programs and activities; to communicate with, and receive information from, teachers and school administrators; to sign permission forms and consents; and to attend meetings concerning the Child on behalf of the Consenting Parent(s). The Consenting Parent(s) further authorize the Temporary Guardian to request, receive and access the Child's educational, medical and other personal records to the extent necessary for the care of the Child, and consent, for the purposes of applicable privacy legislation, to the collection, use and disclosure of the Child's personal information by and to the Temporary Guardian for that purpose.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"12","cflou":false,"active":true,"displayConditions":[{"field":"34ad62ab-4cc3-4572-9916-07e7e468a34e","value":"education","type":"add","operator":"="}]},{"id":"024ef876-eeca-43be-a3d0-7d6ed2755a77","order":25,"text":"Travel. The Temporary Guardian is authorized to accompany the Child in travel, and to consent to and arrange for such travel, [Travel scope]. The permitted destinations are: [Permitted destinations]. For the purpose of any travel, this Authorization constitutes the written consent of the Consenting Parent(s) to the Child travelling with the Temporary Guardian and may be relied upon by carriers, border services, immigration and customs authorities as evidence of that consent. For verification, the Consenting Parent(s) may be reached at: [Contact for border / carrier verification]. The Consenting Parent(s) acknowledge that additional documentation (such as the Child's passport and a certified copy of this Authorization) may be required for international travel.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"12","cflou":false,"active":true,"displayConditions":[{"field":"34ad62ab-4cc3-4572-9916-07e7e468a34e","value":"travel","type":"add","operator":"="}]},{"id":"e586e40c-6e1a-4482-8a9b-af7368e70aff","order":26,"text":"Activities and consents. The Temporary Guardian is authorized to enrol the Child in and consent to the Child's participation in recreational, cultural, athletic and social activities, and to sign such waivers, releases and consents as are ordinarily required for a minor's participation in those activities.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"12","cflou":false,"active":true,"displayConditions":[{"field":"34ad62ab-4cc3-4572-9916-07e7e468a34e","value":"activities","type":"add","operator":"="}]},{"id":"fd24a10a-548f-496e-a393-a3a10541e597","order":27,"text":"Financial authority. The Temporary Guardian is authorized to incur and pay reasonable expenses for the ordinary care, maintenance, education, health and activities of the Child during the term of this Authorization. The arrangements for funding and reimbursement of those expenses are as follows: [Funding and reimbursement arrangements]. The Temporary Guardian shall keep reasonable records of expenditures made on behalf of the Child.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"12","cflou":false,"active":true,"displayConditions":[{"field":"34ad62ab-4cc3-4572-9916-07e7e468a34e","value":"financial","type":"add","operator":"="}]},{"id":"ca0a760a-1ec0-4ae1-babb-0e8b8dfe8502","order":28,"text":"Religious, cultural and dietary matters. The Temporary Guardian shall have regard to the following wishes of the Consenting Parent(s) concerning the Child's religious observance, cultural and linguistic upbringing, diet and values: [Religious, cultural, linguistic and dietary wishes].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"12","cflou":false,"active":true,"displayConditions":[{"field":"34ad62ab-4cc3-4572-9916-07e7e468a34e","value":"culture","type":"add","operator":"="}]},{"id":"8087f478-16b2-4ea4-8d26-fe890796d453","order":29,"text":"Additional instructions. The Consenting Parent(s) further direct the Temporary Guardian as follows: [Additional instructions or limitations].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true,"displayConditions":[{"field":"34ad62ab-4cc3-4572-9916-07e7e468a34e","value":"additional","type":"add","operator":"="}]},{"id":"a9ea00db-d247-4027-9833-a5d272bd15b7","order":30,"text":"6. LIMITS OF THE AUTHORITY","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"14"},{"id":"21834546-90b5-44f0-8f21-5bbf1325fe24","order":31,"text":"This Authorization is a temporary delegation of authority only. It does not, and is not intended to, transfer, terminate or diminish the parental rights, guardianship or custody of the Consenting Parent(s), each of whom retains full parental authority and may resume the exclusive exercise of that authority at any time. This Authorization is not a will, and is not a testamentary or standby appointment of a guardian to take effect on the death or incapacity of the Consenting Parent(s); any such appointment must be made by a separate instrument that complies with the applicable law of the Province named below. Without limiting the generality of the foregoing, the Temporary Guardian is NOT authorized to consent to the adoption of the Child, to the marriage of the Child, to any change in the Child's legal guardianship or custody, or to any medical procedure that a reasonable parent would not authorize, and shall not remove the Child permanently from the Child's province of ordinary residence except as expressly permitted under the travel authority above.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"90418a6d-5b70-4b9d-9ba7-617f802871ea","order":32,"text":"7. REPRESENTATIONS OF THE CONSENTING PARENT(S)","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"14"},{"id":"8a41d2b8-62e9-4b33-a9bf-79a3230758c6","order":33,"text":"The Consenting Parent(s) represent and warrant that they are the lawful parent(s) or legal guardian(s) of the Child; that they have full legal authority to grant this Authorization; that, except as disclosed in this Authorization, no court order, separation agreement or other instrument prohibits or restricts the delegation of authority set out herein; and that the granting of this Authorization is in the best interests of the Child.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"9ec09192-72f8-48ef-97e4-3af8be77d2d6","order":34,"text":"8. EMERGENCY CONTACT","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"14"},{"id":"97d35d90-918f-4b41-9ed1-34f728bbb006","order":35,"text":"In the event of an emergency, or where the Consenting Parent(s) cannot be reached, the Temporary Guardian shall contact [Emergency contact name] at [Emergency contact telephone].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"4d9a39d4-68f5-4c40-ae5e-293c69a284c2","order":36,"text":"9. INDEMNITY AND RELIANCE","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"14"},{"id":"249d9e3e-8642-4a9b-a7d1-dd9285768022","order":37,"text":"The Consenting Parent(s) agree that the Temporary Guardian, and any physician, hospital, school, carrier or other person or institution acting in good faith in reliance on this Authorization, shall not incur any liability by reason of so acting, and the Consenting Parent(s) shall indemnify and hold each of them harmless from and against any claim, loss, cost or expense arising from any act done or omitted in good faith in reliance on this Authorization. This section does not relieve the Temporary Guardian of liability for gross negligence or wilful misconduct.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"d39ddece-a644-4418-95e2-bb39b3aa40ce","order":38,"text":"10. GOVERNING LAW","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"14"},{"id":"b821c5ee-a9c5-4a08-beb9-ca2ed0dd993a","order":39,"text":"This Authorization is governed by and shall be construed in accordance with the laws of the Province of [Province] and the federal laws of Canada applicable therein. This Authorization shall be interpreted and applied at all times so as to give effect to the best interests of the Child.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"2d6a417d-2434-44fc-b376-6a5500f4efbb","order":40,"text":"11. GENERAL","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"14"},{"id":"cd4c9456-15bc-4c18-ad57-d9cd5dc5d0c1","order":41,"text":"This Authorization constitutes the entire authorization of the Consenting Parent(s) with respect to the temporary care of the Child and supersedes any prior oral or written authorization to the same effect. If any provision of this Authorization is held to be invalid or unenforceable, the remaining provisions shall continue in full force and effect. The headings are for convenience only and do not affect interpretation. This Authorization may be executed in counterparts, and a photocopy, scanned or electronically transmitted copy of this signed Authorization may be relied upon to the same effect as an original.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"cfcc8961-457a-4160-ac64-a268ddf38bd2","order":42,"text":"12. 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