This Child Travel Consent Form (“Form”) is executed on [Date], by and between:
Parent/Guardian Granting Consent:
Name: [Full Legal Name]
Address: [Address]
Phone: [Phone Number]
Email: [Email Address]
Child Information:
Full Name: [Child’s Full Name]
Date of Birth: [DOB]
Passport/ID Number (if applicable): [Number]
Accompanying Adult (if applicable):
Name: [Full Legal Name]
Relationship to Child: [e.g., Aunt, Teacher, Coach]
Address: [Address]
Phone: [Phone Number]
Email: [Email Address]
1. Travel Details
Destination: [City, Country]
Travel Dates: From [Start Date] to [End Date]
Airline/Carrier/Group: [Details]
2. Authorization
I/We, the undersigned parent(s) or legal guardian(s), authorize the above-named child to travel to the stated destination during the specified dates in the company of the named accompanying adult or organization.
3. Medical Authorization
I/We also authorize the accompanying adult or relevant authorities to obtain and consent to medical treatment for the child in case of emergency during travel.
4. Governing Law
This Form shall be governed by and construed in accordance with the laws of [State/Country].
5. Signatures
Parent/Guardian Signature: ________________________
Name: _______________________________________
Date: ________________________________________
Parent/Guardian Signature (if joint consent required): ________________________
Name: _______________________________________
Date: ________________________________________
6. Notary Acknowledgment (if required)
This Form was acknowledged before me on [Date], by [Parent/Guardian Name(s)].
Notary Public: ________________________
My Commission Expires: _______________