Fillable Printable Parent/ Guardian Consent Form for Minors

Parent/ Guardian Consent Form for Minors

PARENT/GUARDIAN CONSENT FORM FOR MINORS

Name of child:

Child’s birth date:

Ship/Tour/Property:

Departure date:

Number of days to travel:

Return date:

Name of parent or guardian:

Phone number:

Please list the countries the minor will visit during his or her travel:

I/We hereby give my permission for the above named minor to travel. I/we understand and accept the

conditions for our minor to travel.

I/We hereby designate __________________________ (chaperone) who is traveling with our child and

whose relationship to the child is __________________________, to be responsible for our child during their

travel.

Furthermore, should my child require routine or emergency medical attention during their travel, I specifically

authorize the above named person to make any and all necessary parental decisions concerning any and all

medical treatment that my child may require.

Signature of Parent or Guardian: __________________________

Date: ____________ _________

Name of Notary: __________________________

Signature of Notary: __________________________

Date: ____________ _________

Please stamp notary seal above