International Travel Consent for Minors
To Whom It May Concern:
Minor’s Full Name
Date of Birth
Passport Number
Accompanying Adult(s) Name(s)
Relationship to Minor
Traveling From
Traveling To
Departure Date
Return Date
Parent/Legal Guardian 1 Name
Contact Number
Address
Parent/Legal Guardian 2 Name
Contact Number
Address
Special Instructions / Notes
Date
Signature of Parent/Guardian 1
Date
Signature of Parent/Guardian 2
Name of Witness (if required)
Signature of Witness