Permission To Travel With Minors Letter

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PERMISSION TO TRAVEL WITH MINORS LETTER
I/We: _________________________________ and ____________________________
PARENT or GUARDIAN NAME
PARENT or GUARDIAN NAME
understand that my/our child(ren):
CHILD'S NAME ______________________________________________
CHILD'S NAME ______________________________________________
CHILD'S NAME ______________________________________________
CHILD'S NAME ______________________________________________
will be traveling to
________________________________ on ________________________________
DESTINATION
DATE OF TRAVEL
aboard Airline/Flight - Cruise Ship - Auto _________________________________
with __________________________________________________________________
ACCOMPANYING ADULT(S)
Relationship of Accompanying Adult to Minor(s) _____________________________
Child(ren) expected date of return is _______________________________________
As the child(ren)'s guardian(s), I/We consent to this trip.
Signed_______________________________ and ______________________________
PARENT/GUARDIAN NAME(S)
Address:________________________________________________________________
________________________________________________________________________
Telephone/Contact for Parent/Guardian(s): __________________________________
Witness: _______________________________________________________________
Witness Print Name: _____________________________________________________
Notary Public Signature/Seal:
[Notary: Please include or attach the appropriate acknowledgment wording prescribed by
your state.]

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