International Youth Team Travel Permission Form

Participant Information

Full Name

Date of Birth

Passport Number Nationality

Parent/Guardian Information

Full Name

Relationship

Contact Number Email Address

Trip Information

Destination Country

Departure Date

Return Date

Team Name Purpose of Travel

Medical Information

Relevant Medical Conditions/Allergies Travel/Medical Insurance Details

Parent/Guardian Consent

I, the undersigned, give permission for my child named above to travel internationally as part of the stated team and under the supervision of the responsible adults appointed by the organization.

Signature

Date