TEMPORARY GUARDIANSHIP FORMI/we, [PARENT / GUARDIAN NAME] and [PARENT / GUARDIAN NAME], the parent(s) of [MINOR CHILD NAME], hereby appoint, pursuant to NRS 159.205, [TEMPORARY GUARDIAN NAME] and [TEMPORARY GUARDIAN NAME] as temporary legal guardian(s) to provide for the care, custody, and control of said minor child. This guardianship appointment includes all necessary authority and power to furnish and provide care and services to said minor as may seem necessary, proper, or desirable in the aforesaid child’s best interests and welfare; including, but not limited to, food, clothing, shelter, education, and medical/surgical/dental care and treatment.

This appointment has been executed by both parents if living, not divorced and in legal custody of said minor, otherwise by the parent having legal custody. This appointment expires by operation of law six months after the date of its execution. A custodial parent or a court of competent jurisdiction may terminate this appointment at any time within this six-month term.

This appointment will take effect on [MM/DD/YYYY].

Signed: _________________________________ and _________________________________
Address: [PARENT / GUARDIAN FULL ADDRESS]

)
)  ss:                                     )

On ____________________ personally appeared before me, a notary public, ________________________ and ________________________, who acknowledged that he/she/they executed the above instrument.

_________________________________
Notary Public

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I/we, [TEMPORARY GUARDIAN NAME] and [TEMPORARY GUARDIAN NAME], do hereby accept this appointment as guardian and the responsibility for the care, custody, control, and further agree to provide proper and necessary subsistence for the support and maintenance of the minor child and to abide by all federal, state and local laws including rules and regulations of the Clark County School District. I/we also agree to inform the school of enrollment when the child is no longer under my/our control or my/our charge.

Signed: ____________________________ and ____________________________

Address: [TEMPORARY GUARDIAN FULL ADDRESS]

STATE OF NEVADA                       ) ss:
)                             COUNTY OF ______________ )

On ___________________ personally appeared before me, a notary public, ________________________ and ________________________ , who acknowledged that he/she/they executed the above instrument.

_________________________________
Notary Public

In cases where the minor is 14 years or older, the minor must consent in writing to the guardianship.
I hereby consent to this temporary guardianship.
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Signature of Minor