Child Travel Authorization Release Form
Child Information
Full Name
Date of Birth
Passport/ID Number
Parent/Guardian Information
Full Name
Relationship to Child
Contact Number
Email Address
Address
Travel Information
Destination(s)
Departure Date
Return Date
Means of Transportation
Accompanying Adult(s)
Full Name(s)
Relationship to Child
Authorization & Consent
Additional Notes or Instructions
Parent/Guardian Signature
Date