iLEAD LAW GROUP

艾利德律师事务所

(718) 939-9000 [email protected]

Manhattan: 99 Park Ave, Ste 830, New York, NY 10016 | Queens: 136-20 38th Ave, Ste 9J, Flushing, NY 11354
New Jersey: 560 Sylvan Ave, Ste 3160, Englewood Cliffs, NJ 07632

Guardian Designation Form for Minor Children

Please complete all applicable sections. Use additional sheets if necessary.

I. Parent Information

Father

Full Legal Name

Date of Birth

Address

Phone Number

Mother

Full Legal Name

Date of Birth

Address

Phone Number

II. Minor Children

Full Name	Date of Birth	Gender	School	Special Needs / Allergies

III. Primary Guardian

Primary Guardian

Full Legal Name

Relationship to Child(ren)

Address

Phone Number

Email Address

Marital Status

Does this person have their own children?

Yes — How many? _____

Reason for Selecting This Person as Primary Guardian:

IV. Alternate Guardian

Alternate Guardian

Full Legal Name

Relationship to Child(ren)

Address

Phone Number

Email Address

Marital Status

Does this person have their own children?

Yes — How many? _____

Reason for Selecting This Person as Alternate Guardian:

V. Financial Guardian (If Different from Primary Guardian)

Financial Guardian / Custodian

Full Legal Name

Relationship to Child(ren)

Address

Phone Number

Reason for Appointing a Separate Financial Guardian:

VI. Education & Care Preferences

School Type Preference:

Public School

Private School

Religious School

No Preference

Religious Upbringing (specify faith, practices, or "none"):

Extracurricular Activities (sports, music, arts, etc.):

Other Preferences for Your Children's Care and Upbringing:

VII. Persons Excluded from Guardianship

If there are specific individuals whom you do NOT want to serve as guardian, please list them below:

Full Name	Relationship	Reason for Exclusion

VIII. Other Instructions

Please provide any additional instructions, wishes, or information regarding the guardianship of your minor children:

We hereby affirm that the information provided above is true and accurate to the best of our knowledge.

Signature of Father

Date

Signature of Mother

Date

This form is for information gathering purposes only and does not constitute a legal document. Please consult with an attorney at iLEAD LAW GROUP for proper legal advice.