Travel Consent Form for Minor Child Traveling with One Parent Form

Travel Consent Form for Minor Child Traveling with One Parent Form
Minor Child Information
Name
First NameLast Name
Age
Date of Birth
MonthDayYear
Date
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Parent/Guardian Information
Parent/Guardian who will come with the minor child
First NameLast Name
Phone Number
Format: (000) 000-0000.
Relationship to Minor Child
Parent/Guardian who will give the consent
First NameLast Name
Phone Number
Format: (000) 000-0000.
Relationship to Minor Child
Trip Details
Travel Duration
Trip Purpose
Trip Destination
Acknowledgment and Travel Consent
I acknowledge that I am the parent/guardian of the child mentioned above.
I, ({parentguardianWho17}) give my consent for my child to travel with ({parentguardianWho}) to ({tripDestination}).
In case of emergency, please contact the parents with the following information:
Parent/Guardian Name:{parentguardianWho}
Phone Number:{phoneNumber15}
Parent/Guardian Name:{parentguardianWho17}
Phone Number:{phoneNumber23}
Signature of Parent/Guardian who will come with the minor child
Clear
Date Signed
MonthDayYear
Date
Parent/Guardian who gave the consent
Clear
Date Signed
MonthDayYear
Date
Should be Empty:

Minor Child Information