Delegation of Right to Make Educational Decisions

I,                               , am eighteen years of age but under twenty-two years of age and a pupil who has the right to make educational decisions for myself under state and federal law.  I have not been declared legally incompetent, and As of the date of the execution of this document, I delegate my right to give consent and to make decisions concerning educational matters to __________, who will be considered my "Parent" for the purposes of  20 United States Code §  1401 and will exercise all the rights and responsibilities concerning my education that are conferred on a parent pursuant to state and federal law.  I understand and give my consent that __________ will make all decisions relating to my education on my behalf.  I understand that I am entitled to be present during the development of any individualized education plan and that any issues or concerns I may have will be addressed.  This delegation will be in effect for one year from today's date and may be renewed only by my written or formal authorization.  I understand that I have the right to terminate this agreement at any time and resume the right to make decisions regarding my education.

Please note:  The delegation of right to make educational decisions pursuant to this section may be given in writing, by audio or video means or in any other alternative format that is necessitated by the pupil's disability.