Letter of Parental Consent for Minor Children to Travel

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