Free notary acknowledgement 29
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Notarized letter required for students under 18 years of age

Parent/Guardian name, address, phone
Date

To Whom It May Concern:
I/we authorize _____________ and ________________, fulltime faculty or staff members of Mary
Baldwin College in Staunton, Virginia, to accompany our daughter _________________
(student's name), whose date of birth is _________________ (date of birth), during an
international study course in____________________(country/ies) between
___________(departure date) and _______________(return date). ______________ (student's
name) is a fulltime, degree-seeking student at Mary Baldwin College.

Sincerely,
Signature____________________________
Name (print)_______________________

Signature________________________
Name (print)_______________________

Date_____________
Date________________
[if there are two guardians or parents with legal custody, both must sign and date]

Notary Signature: ______________________

Date:___________________