Parental Consent Form For Children Traveling Abroad

Fields marked with  * are required.

  • My/our child’s date and place of birth

  • Child's Temporary Guardian(s)

    My/Our child has my/our consent to travel with;
  • Dates of Departure:

  • Dates of Return:

  • During the time that my/our child is in my/our child’s temporary guardian’s custody, the said temporary guardian has the authority to make any medical decisions which may be required to be made.

  • Phone Numbers:

  • Today's Date:

  • Enter the characters displayed in the box provided.