Affidavit of Consent for Minor Travel

Date:

I, (Full Name of Parent/Legal Guardian):

Address:

hereby give consent for my minor child:

Full Name of Minor:

Date of Birth:

Passport/ID Number:

to travel to:

Departure Date:

Return Date:

Accompanied by (if applicable, Name and Relationship):

Additional Information / Special Instructions:

Parent/Legal Guardian Signature:

Printed Name: Contact Number:

Notary Public (if required):