COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : ELEVENTH JUDICIAL DISTRICT Plaintiff(s) COUNTY OF SAN JUAN -againstSTATE OF NEW MEXICO Calendar No. : JUDICIAL SUBPOENA : : : LIMITED POWER OF ATTORNEY DELEGATING POWERS OF PARENT OR GUARDIAN* Defendant(s) : ...................................................... Pursuant to Section 45-5-104, NMSA 1978 I, , being a custodial parent of , Social Security No. , (hereinafter the “student”), a student to be School THE PEOPLE OF THE STATE OF NEW YORK enrolled in the District, (hereinafter “School District”) do hereby delegate to of , New Mexico (hereinafter “delegatee”), for a period of six months, all of my TO powers regarding care, custody, educational decisions, and property of student, including but not limited to responsibility for the school attendance and conduct of the student, except that delegatee shall not have the power to consent to marriage or adoption of a minor ward. The GREETINGS: agreement between the aforementioned parties does not supersede School District Board of Education COMMAND YOU, that all business andAssociation rules and/or and eachregulations. before WE policies, New Mexico Activities excuses being laid aside, you other of you attend , the Honorable at the Court County of delegate my powerlocated at I hereby, of attorney as stated in the aforementioned agreement and fully inunderstand the, terms of theday of room on the , 20 , at o'clock in the noon, and at any recessed agreement. or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Print Name Social Security Number the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of Signature of Parent/Guardian , 20 Date (Attorney must sign above and type name below) ACKNOWLEDGMENT STATE OF NEW MEXICO COUNTY OF SAN JUAN Attorney(s) for The foregoing instrument was acknowledged before meOffice and P.O. Address this day of 20 , by . My Commission Expires: , Telephone No.: Facsimile No.: Notary Public E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : *NOTE: This original document must be filed with the COUNTY CLERK’S OFFICE and a JUDICIAL SUBPOENA Plaintiff(s) copy must be provided to the receiving school. -against- : : : I, hereby acknowledge and understand that I have been delegated the aforementioned power of attorney as stated in the agreement and fully understand and accept the responsibilities as set Defendant(s) : . .forth.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... THE PEOPLE OF THE STATE OF NEW YORK TO Print Name Social Security Number GREETINGS: Signature of Student Date WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com