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Parental Consent To Travel Form
Parental Consent To Travel Form
The intention of this letter is to provide consent for a minor child to travel without the company of both legal parents.
If neither parent is traveling with the minor child, then a Letter of Parental Consent must be completed separately by
each parent. Other official documentation may be required.
Consent:
I, ______________________________________________ (name of parent), am the ______ (mother) ______ (father) of
__________________________________ , aged ____________ , and do hereby give my consent for (him)(her) to travel
with __________________________________________________________________ (name/address of traveling adult),
______________________ (relationship to child), to ____________________________________________ (destination)
from _______________________ (date of first day of travel) until ______________________ (date of last day of travel).
Travel Details:
(Include flight numbers, arrival/departure times, cruise line, tour operator, or attach itinerary.)
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Commonwealth of Pennsylvania
County of _________________________
Pennsylvania Association of Notaries • Phone: 800-944-8790 • Fax: 800-707-7075 • Web site: www.notary.org • E-mail: PAN@notary.org
PAN-326 4-23