Grandparent Consent for Minor’s Vacation Travel

Date:

To Whom It May Concern,

I/we, the undersigned, am/are the grandparents of the minor named below. I/we hereby give consent for the minor to travel for vacation as described.

Minor’s Information

            Full Name:
            
            Date of Birth:
            
            Passport Number:

Address:

Travel Details

Destination(s): Dates of Travel: Travel Companion(s) (Names and relationship):

Grandparent(s) Information

            Name:
            
            Relationship to Minor:
            
            Address:

Phone Number: Email Address:

Parent(s) / Legal Guardian(s) Information

Name(s): Contact Number:

Address:

Special Instructions / Medical Information

Consent

I/we confirm that I/we am/are granting permission for the above-named minor to travel as described. This consent is given voluntarily.

Grandparent Signature

Print Name

Date

Notary Acknowledgment (if required)