This Revocation of Power of Attorney for Care and Custody of a Child is a form, authorized by T.C.A. § 34-6-301 et seq., which removes or revokes for the appointment of an attorney-in-fact for the care of a child or children, including health care. This Revocation of Power of Attorney form requires that the signatures of the persons who originally gave the caregiver the power of attorney be notarized.