Notarized Letter of Consent for Minor to Travel with Third Party

Minor Information
Full Name:
Date of Birth:
Passport Number:
Parent/Legal Guardian Information
Full Name:
Relationship to Minor:
Contact Number:
Address:
Accompanying Third Party
Full Name:
Relationship to Minor:
Passport/ID Number:
Contact Number:
Travel Details
Destination Country/Countries:
Purpose of Travel:
Departure Date:
Return Date:
Flight/Transport Information:
Consent Statement

I, the undersigned, hereby give consent for the above mentioned minor to travel with the accompanying third party as detailed above, for the period and purpose stated. I affirm that I am the lawful guardian/parent of the minor and authorize this travel arrangement.

Signature of Parent/Guardian:
Date:
Printed Name:
Notary Public
Subscribed and sworn before me on this day:
Notary Public Name:
Signature:
Commission Number:
My commission expires:
Seal/Stamp: