Minor (Child) Travel Consent FormMinor (Child) Travel Consent Form
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MINOR (CHILD) TRAVEL CONSENT
I. The Parent(s)
I/We, _______________________, am/are the lawful custodial parent(s) and/or non-custodial
parent(s) or legal guardian(s) of:

II. The Minor

Full Name: _______________________
Date of Birth: _______________________
Place of Birth: _______________________
Passport Number (if applicable): _______________________
o

Country of Issuance: _______________________

o

Date Issuance: _______________________

o

Date Expiration: _______________________

III. Traveling Alone/Accompanying Person
☐ - I authorize my child to travel alone.
☐ - I authorize my child to travel with the following individual/organization:

Individual/Organization Name: _______________________

Relationship to Child (if applicable): _______________________

U.S. or Foreign Passport Number (if applicable): _______________________
o

Country of Issuance: _______________________

o

Date Issuance: _______________________

o

Date Expiration: _______________________

IV. I