boscobeans Posted February 28, 2006 #26 Share Posted February 28, 2006 Consent for National/International Travel with Adult I, (print full name)________________________________ am the lawful Guardian (Father/Mother)of ________________________________born on ____DATE_________in______CITY—AND—STATE____. My child, ________________, has my consent to travel with _____________and/or ________________ from ____________, to and from all locations; including but not limited to ____________, from __DATE__________to ___DATE________on ANY and ALL modes of Ground, Sea or Air Transportation. In the event that my child requires medical treatment and I cannot be reached, __________________and/or _______________are authorized to make medical decisions in my stead. Any questions regarding this consent can be directed to me at this address: _____________________________________________ _____________________________________________ Home Phone: (_____) THIS CONSENT SIGNED ON_________________/2006_DATE __________________________________________________________ SIGNATURE OF PARENT NOTARIZED_________________________ ____________________________________ ____________________________________ NOTARY SEAL Link to comment Share on other sites More sharing options...
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