Medical Power of Attorney

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PERMISSION TO TRAVEL AND SPECIAL POWER OF ATTORNEY FOR THE CARE OF XXXXX, A MINOR

My daughter XXXXXXXXXXX has permission to participate in the Girl Scout Troop 183, Girl Scout Council of Colonial Coast, trip to England from August 22, 2000 through August 30, 2000. I understand that she will be traveling to England escorted during all or part of the trip by her Girl Scout Troop Leader, Mrs. P. Jann Schultz, and Troop Co-Leaders Mrs. Janice Pruden, Mrs. Terri Patterson and Mrs. Deborah Flanagan.

KNOW ALL MEN BY THESE PRESENTS:

That I, XXXXXXX, a legal resident of Virginia Beach, Virginia and the parent of XXXXXX (Date of Birth XXXXX), a minor, have made, constituted, and appointed, and by these presents do make, constitute and appoint: Patricia Jann Schultz, whose present address is 2000 Agnes Court, Virginia Beach, Virginia, my true and lawful attorney as follows, GIVING and GRANTING, unto said attorney for medical purposes full power to:

Seek, obtain and authorize medical treatment or care for XXXXXXXXX, specifically including but not limited to, authority to seek medical treatment by a pediatrician or any other doctor, to authorize admission to any hospital or medical facility, to authorize any medical or surgical procedures to be undertaken on said child which are deemed necessary by any doctors for his health and well-being; and to seek and authorize emergency medical treatment, the need for which may be occasioned by accident, injury, illness or any matter endangering the health of said child.

FURTHER, I do authorize my aforesaid attorney-in-fact to perform all necessary acts in the execution of the aforesaid authorization with the same validity as I could effect if personally present. Any act or thing lawfully done hereunder by my said attorney shall be binding on myself and my heirs, legal and personal representative, and assigns.

PROVIDED, HOWEVER, that all business transacted hereunder for me in obtaining medical attention for said child and all endorsements and instruments executed by my said attorney for the purpose of carrying out the foregoing powers shall contain my name, followed by that of my attorney and a designation "attorney-in-fact".

FURTHER, unless sooner revoked or terminated by me, this special power of attorney shall be come null and void from and after September 1, 2000.

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COMMONWEALTH OF VIRGINIA

CITY OF VIRGINA BEACH, to-wit:

The foregoing instrument was subscribed and sworn to before me this day of August, 2000.

Notary Public

My Commission Expires: