TRAVEL CONSENT FORM

FOR MINOR CHILD

CONSENT:

I, ___________________________________, (name of parent), am the ___(mother)___ (father)

of ________________________________ (name of minor child), whose date of birth is
___________________________, 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, hotels, etc.)

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
SIGNATURE OF PARENT GIVING CONSENT:

_________________________________ ____________________________ (printed name)

Parent Signature ____________________________ (address)
____________________________
____________________________ (phone)

******************************************************************************
STATE OF _______________ )
) ss.
COUNTY OF _____________ )

Subscribed and sworn before me

this ____ day ________, 20__.

__________________________

Notary Public