Consent Letter for Children Travelling Abroad To Whom It May Concern: I/WE, Jane Smith and John Doe,

lawful parent(s)/custodial rights/guardianship rights to:

Child Name Age DOB Passport # Citizenship

HEREBY give consent to:

Accompany Person Name Relationship to Child Passport # Citizenship

TO CARE FOR AND BE THE ACCOMPANYING ADULT of the named child/children during the visit to:
Name of Country During the Period of At the following Location/ Address Phone Email

ANY CONCERNS OR QUESTIONS about this CONSENT LETTER or during a medical emergency, please contact me/us at: Address: Phone: Email: Identities VERIFIED; SWORN BEFORE ME, Vinh T. Tran, Barrister & Solicitor, Notary Public, Commissioner of Oaths, in and for the Province of Ontario, at the City of Toronto, this day of _______________2011. ) ) ) ) ) )

Jane Smith

A Commissioner for Taking Affidavits Etc.

John Doe