TEMPORARY CAREGIVER AUTHORIZATION
Limited Philippine child-care authorization · 0.2.0 · Independent Philippine family-lawyer review pending
This Temporary Caregiver Authorization is made on August 31, 2026 by Maria Elena Santos, Mother exercising parental authority, of 24 Sampaguita Street, Quezon City 1103, together with Jose Miguel Santos, Father exercising parental authority, of 24 Sampaguita Street, Quezon City 1103 (collectively, the “Authorizer”), concerning Sofia Isabel Santos, born May 12, 2016 and ordinarily residing at 24 Sampaguita Street, Quezon City 1103 (the “Child”).
The Authorizer appoints Ana Lucia Reyes, born February 20, 1988, of 88 Acacia Avenue, Pasig City 1605, the Child's Maternal aunt, as the limited temporary “Caregiver” on the terms below. The Caregiver's contact is +63 917 555 2001 and ana.reyes@example.com.
Authority basis: joint parents. Supporting record: PSA-issued Certificate of Live Birth naming both parents, PSA-issued marriage certificate, and both parents' current Philippine passports. No controlling custody or protective order is known to the Authorizer.
1. Purpose, term, and places
Provide safe temporary care while both parents complete a short overseas work assignment and remain reachable for decisions reserved to them.
This authority begins September 5, 2026 and ends automatically at the end of October 5, 2026, or earlier upon completion, revocation actually communicated to the Caregiver and relevant recipient, a controlling order, or safe return of the Child. It does not renew by conduct.
Permitted locations: The child's usual Quezon City residence, Mabini Learning Academy, the named pediatric clinic, approved Quezon City activity venues, and direct transport between those places. No overnight care is authorized.
Named recipients and reliance limits: Mabini Learning Academy for attendance and pickup; Mabini Pediatric Clinic for care coordination; the named activity provider for supervised attendance.
2. Specific permitted care acts
Only the following acts are authorized: provide meals, hygiene, age-appropriate supervision, rest, and ordinary daily routines; pick up and receive the Child through the school's accepted release process; coordinate attendance and ordinary school communications without changing enrollment or accepting new obligations; schedule and coordinate routine healthcare and exchange only necessary care information; arrange emergency transport and initial-care coordination while promptly attempting to contact every Authorizer; transport the Child only within the stated Philippine locations and limits; receive only records necessary for a selected care task and return them at handoff.
School and release instructions: Ana may present the signed original and accepted ID, collect Sofia after classes, report absences, receive ordinary scheduling notices, and follow the school's current release log; she may not change enrollment or sign a new obligation. School: Mabini Learning Academy, 18 Commonwealth Avenue, Quezon City; Registrar +63 2 8555 3100.
Local movement: Direct local travel within Quezon City and Pasig City for the listed residence, school, clinic, and approved activities using a seat-belt-equipped private car or licensed ride service with direct adult supervision.
The Caregiver may complete a recipient's verification or acknowledgment only when it records the actual care task and does not create a contract, waive a right, make a legal declaration for the Child, or expand this authority.
3. Health and emergency plan
Known allergies, conditions, dietary needs, and warning signs: Peanut allergy requiring avoidance and prompt response to symptoms; mild asthma managed under the current written pediatric care plan; no other known condition.
Medication plan: Keep the prescribed inhaler and epinephrine auto-injector in their original labeled containers, follow the attached physician instructions, record every use, and make no dose or medicine change.
Doctor, clinic, health-plan, insurance, and verification: Dr. Liza Mercado, Mabini Pediatric Clinic, +63 2 8555 4000; PhilHealth and private HMO member references shown only on the sealed provider copy.
Emergency process: Call 911 or the nearest capable provider when urgent, use the prescribed emergency medicine as directed, attempt both parents immediately, disclose only necessary care information, and follow the provider's lawful consent and transfer process. Authorizer contacts: Maria: +63 917 555 1001; Jose: +63 917 555 1002; both available by voice, SMS, and secure message at all times during the authorization. Alternate contact: Grandmother Elena Cruz, +63 917 555 3001, Quezon City.
Nothing in this document requires a hospital or clinic to delay appropriate initial treatment and support in an emergency or serious case. It does not authorize elective, invasive, experimental, irreversible, or other major treatment; change a prescription; waive a provider's lawful consent process; release a provider from liability; or make the Caregiver the Child's legal guardian or general medical decision-maker.