Fillable Printable Child Travel Consent Form Template
Fillable Printable Child Travel Consent Form Template
Child Travel Consent Form Template
Recommended Consent Letter for Children Travelling Abroad
The following sample consent letter, provided by Foreign Affairs, Trade and Development Canada, can be modified to meet
your specific needs. For instructions and an interactive form you can use to create a customized letter, visit travel.gc.ca/letter.
To whom it may concern,
I / We,
,
full name(s) of parent(s) / person(s) / organization giving consent
Address:
street address, city
province/state, country
Telephone and email:
telephone email
am / are the parent(s), legal guardian(s) or other authorized person(s) or organization with custody rights, access rights or
parental authority over the following child:
Information about travelling child
Name:
child’s full name
Date and place of birth:
dd/mm/yyyy city, province/territory
Number and date of issue of passport (if available):
number dd/mm/yyyy
Issuing authority of passport (if available):
country where passport was issued
Birth certificate registration number
number
Issuing authority of birth certificate
province / territory where birth certificate was issued
Information about accompanying person (leave blank if child is travelling alone)
This child has my / our consent to travel alone
☐
or
This child has my / our consent to travel with
Name:
full name of accompanying person
Relationship to child:
mother, father, grandparent, sister, brother, relative, friend, other
Number and date of issue of passport:
number dd/mm/yyyy
Issuing authority of passport:
country where passport was issued
Contact information during trip
I / We give our consent for this child to travel to:
Destination(s):
name of destination country / countries
Travel dates:
date of departure to date of return
to stay with / at (if applicable)
name of person with whom child will be staying / hotel or other accommodation
at the following address(es)
street address(es), city (cities)
province(s)/state(s), country (countries)
Telephone and email
This letter may be signed before a witness who has attained the age of majority (18 or 19, depending on the province or territory of residence) OR certified by
an official who has the authority to administer an oath or solemn declaration (recommended).
Signature(s) of person(s) giving consent
Signature of witness
or
Signature of official
Signed before me on this
full name of witness
day of ,
,
month
year
signature(s) of person(s) giving consent
signature of witness
by
name(s) of person(s) giving consent
dd/mm/yyyy dd/mm/yyyy city, province/territory
signature of official
name / title of official
Questions regarding information in this consent letter should be directed to the person(s) or organization giving consent.
(seal)
