LETTER OF APPOINTMENT OF U.S. GUARDIAN (LOCAL CONTACT) To: [School name], [Dean of Students / International Student Office] Date: [YYYY-MM-DD] We, [parent 1 full name] and [parent 2 full name], the parents of [student's full name], born [YYYY-MM-DD], a student at [school name] in grade [grade], appoint the following adult as our child's guardian and local contact in the United States: Name: [guardian's full name] Relationship to the family: [e.g. family friend, aunt] Address: [U.S. address] Phone: [mobile] · E-mail: [e-mail] From [start date] until [end date or "further written notice"], the guardian may, in our place: 1. Receive our child during school breaks, weekends away and holidays, and arrange travel to and from school. 2. Talk with the school about our child's well-being, attendance and academic progress. 3. Be contacted in an emergency and make urgent decisions if we cannot be reached, including authorizing emergency medical treatment. 4. [Other permissions, or delete this line.] We can be reached at: [parents' phones, e-mails, time zone]. Please contact us as well as the guardian whenever possible. Parent 1 signature: ______________________ Date: __________ Parent 2 signature: ______________________ Date: __________ I accept this appointment. Guardian signature: ______________________ Date: __________