Letter of Parental Consent for Minor Children to Travel The intention of this letter is to provide consent for a minor child to travel without the company of both legal parents. If neither parent is traveling with the minor child, then a Letter of Parental consent must be completed separately by each parent. Other official documentation may be required for travel. I (name of parent), am the , age Mother Father of and do hereby give my consent for him/her to travel with (name/addrss of traveling adult), (relationship to child), to from Yes (Destination) (date of first day of travel) until (date of last day of travel). I give permission for above mentioned adult to make medical decisions in the case of a medical emergency for my minor child. No Travel Details: (Include flight numbers, arrival/departure times, cruise line, tour operator, or attach itinerary.) Signature of Parent Giving Consent: (Print name of signing Parent Address: City State: Zip: Phone: State/Commonwealth of: On this day of County of: , 20 , before me, the undersigned officer, personally appeared known to me or satisfactorily proven to be the person whose name is subscribed to the within instrument, acknowledged that he/she executed the same for the purposes therein contained. In witness whereof, I herunto set my hand and seal. , Notary Public Aug 24, 2009
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