Notarized Consent Form for Minor’s Religious Pilgrimage

I/We, the undersigned, declare that I/we am/are the parent(s) or legal guardian(s) of the following minor and hereby give consent for them to participate in the religious pilgrimage as described below:

Minor's Information

Full Name of Minor

Date of Birth

Passport/ID Number

Details of Pilgrimage

Name of Pilgrimage/Event

Destination(s)

Departure Date

Return Date

Organizing Group/Institution

Parent(s)/Legal Guardian(s) Information

Full Name(s)

Relationship to Minor

Contact Number(s)

Address

Additional Medical/Travel Information (if any)

I/We confirm that I/we have read, understood, and consent to the participation of the above named minor in the stated pilgrimage. I/We also confirm that all information provided above is true and correct.

Parent/Guardian Signature

Date

Parent/Guardian Signature

Date

For Notary Public Use Only

State of
County of

On this day of , 20, before me, the undersigned notary public, personally appeared , proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to this instrument, and acknowledged that he/she/they executed the same.

Notary Public Signature & Seal