Free Temporary Guardianship Form
+ Travel and Medical Consent Forms

Your Free Temporary Guardianship Form makes provision for local travel with a temporary guardian as well as being a parental medical consent form.

Should the child be traveling across borders or even locally for a once-off excursion with a school or organization, you can use the stand-alone free parental travel consent form.

Be sure to read the important information before completing the form lower down on this page.

Difference Between Temporary Guardianship and Temporary Custody

The purpose of the free temporary guardianship form supplied here is for voluntary and temporary use and is an informal letter issued by the parents in a private agreement. There is no need to have court approval for this purpose.

In this instance Temporary would mean for a limited time (normally not exceeding 30 days) and Guardian denoting a person lawfully invested with the power to take care of and manage the property and rights of a person (such as a minor).

Note: This does not in any way diminish or terminate the rights of the parent!

On the other hand, only a court order can grant custody and can do so without the consent of the parent.

Rights of a Temporary Guardian

A temporary guardianship form is typically used, for example, when a single parent needs to be hospitalised or when parents are traveling abroad and are leaving their child in the care of a family member or trusted friend. Another instance may be when the child is going on a field trip or excursion with a school, on a sports trip or on holiday with friends.

The rights of the guardian would simply be to make day-to-day decisions for a child on behalf of the parent. At times it may be impossible to get hold of parents in an emergency situation, so your free temporary guardianship form granting permission to authorize medical treatment can prevent serious delays.

In the case of the child being looked after by a child minder you can use our stand-alone parental medical consent form. In this instance there is no need to complete the temporary guardianship form.

You can download your Parental Medical Consent Form and Parental Travel Consent Form by clicking on the following links, but do take some time and explore the useful tips and information on this page first.

A Free Guardianship Form, which is available right after the Important Information below, can be copied into any word program where you can edit it to suit your requirements.

Important Information Re Your Free Temporary Guardianship Form:

  • If you use our free temporary guardianship template or any other parental consent form supplied here, it adds credibility to have them notarized. If you choose to have them notarized you should not sign them beforehand since the notary public or commissioner of oath must witness your signature.

    Be sure to take all identification documents along - your own as well as your child's (e.g. birth certificate. Note: if one parent on the birth certificate of the child is deceased you should provide a certified copy of the death certificate).
  • If the child's last name (surname) is different from the parent you may need a marriage certificate, name change document, adoption papers etc. to prove the relationship.
  • To avoid administrative hassles during an emergency you should attach a copy of your Medical Aid or Health insurance to your Temporary Guardianship Form.
  • Make sure you initial wherever wherever alterations are made with full signatures at the end.
  • Witness signatures must be by independent persons and not by anybody listed on the temporary guardianship document.

Copyright Notice

Authorization of Temporary Guardianship:



Full Name and Surname:

Identity / Social Security or Other (Specify) number:

Full Name and Surname:

Identity / Social Security or Other (Specify) number:

Physical Address:

Contact Details:

(hereinafter referred to as "the Parent / Guardian")


Full Name and Surname:

Birth Date / identifying numbers:

(hereinafter referred to as "the Child")


Full Name and Surname:

Identity / Social Security or Other (Specify) number:

Full Name and Surname:

Identity / Social Security or Other (Specify) number:

Physical Address:

Contact Details:

(hereinafter referred to as "the Temporary Guardian")

I, the Parent / Guardian of the Child hereby grant temporary guardianship to the Temporary Guardian for the period from the _______ day of ____________________ 20____ and expiring on the

_______ day of _____________________ 20____.

1.    I hereby acknowledge that the Child will reside with the Temporary Guardian and may travel locally with the Temporary Guardian.

2.    I authorize the Temporary Guardian to act on my behalf in making all decisions on a daily basis as to the Child's activities.

3.    I authorize the Temporary Guardian to administer general first aid treatment for minor injuries or illnesses experienced by the Child except where any such first aid treatment is specifically excluded hereunder:

4.    I authorize the Temporary Guardian, in the event that I cannot be contacted or if any urgency dictates, to act in loco parentis for the Child in respect of any circumstances, including any accident or illness, which may necessitate medical treatment, including surgery, and on my behalf to authorize any such treatment or surgery which they, in their sole discretion, (which discretion shall not be unreasonably exercised), may deem necessary. Medical treatment for the Child may also include dental surgery, x-ray, blood transfusion, anesthetic and medication provided any such medical treatment is performed by a duly licensed practitioner. I hereby accept full liability for all costs incurred through such medical treatment for the Child.

5.    Persons responsible should please note the following: (Please state aspects eg. allergies, tendency towards abnormal bleeding, epilepsy, etc.)

       Present prescribed, or other medication that is being administered:

6.    The following information is essential in case of medical treatment or hospitalization:

    6.1.    Name and Address of Employer:

    6.2.    Medical Aid / Insurer:

    6.2.    Policy Number:

7.    I indemnify the Temporary Guardian against any and all claims whatsoever and howsoever arising, save where such claims arise from negligence, gross negligence or willful intent during the specified period of Temporary Guardianship.

8.    I declare that I am the legal custodian of the Child and that I have legal authority to appoint a Temporary Guardian for the Child.

9.    Unless inconsistent with the context, words signifying the singular shall include the plural and vice versa.

Signed at ______________________on this ______day of _________________20____

SIGNATURE _____________________________(Parent / Guardian)

SIGNATURE _____________________________(Parent / Guardian)

WITNESS 1:    _____________________________

WITNESS 2:    _____________________________


Guardian Excursion Consent Form

The organizers of an excursion, field trip or sports tour will usually issue their own forms requesting information as well as indemnifying them against claims. If you do not agree with or understand any particular clause, you should take it up with them - no reason to feel compelled to sign anything you are not comfortable with.

If they do not ask for details such as allergies or current medication you should add it as a footnote or as an (attached) addendum. If you know your child's blood group you should add that too.

Do Both Parents have to Sign the Temporary Guardianship or Travel Consent Form?

Yes. Unless one parent is deceased, has no legal rights, is unknown etc.

A parent may need a parental travel consent form from the other parent if he / she does not have legal custody or even if they have joint legal custody.

If a parent does have sole legal custody, he / she should have a certified copy of the court document when traveling across international borders.

Should a guardian go on a trip across borders it is imperative to issue a parental travel consent form with your temporary guardianship form. Even if the child is traveling with a parent, the legal circumstances may be such that the non-traveling parent may have to sign a parental travel consent form.

Temporary Guardianship Form to Enroll in School

You would not necessarily need a formal court order of custody or guardianship in order to enroll a child in the district of the guardian.

However! You cannot grant temporary guardianship for the sole purpose of getting a child entrance into a school in a different district. The guardian needs to be supporting and caring for the child and must be a bona fide provider of accommodation for the child because the parent is unable or unwilling to do so.

The school should be able to provide you with a third-party custody form where you will make a declaration that you are caring for the child.

Supporting documents with your free Temporary Guardianship Form could include your affidavit of residence or lease agreement showing the child as occupant, proof that the parents are incarcerated or in active military service outside the area, proof that you've been paying for the child's medical expenses etc.

Giving Guardianship to Grandparents

Parents can give temporary guardianship to grandparents (as they can do to a trusted friend) without getting approval from a judge. As we said at the start of this page, this is a voluntary and informal private agreement for a limited time. If the time period needs to be extended another temporary agreement can be signed.

Parents may have reason to sign over full custody to grandparents. This entails the completion of the required court forms and signing by parents and grandparents in the presence of a notary public.

If grandparents wish to obtain permanent guardianship or custody without consent from the parents, they will need to file a petition with the court and must cite valid reasons and conince the court thereof, in order to be appointed as legal guardians.

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