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Consent For Child To Travel Outside The United States
Date: _____________________, 20__
To Whom It May Concern:
RE: Consent for Child to Travel Outside the United States of America
We, _______________________ (father) and ___________________ (mother),
are the parents of ______________________ (child), who was born on ____________
(date of birth).
We give our consent and permission for this child to travel outside the United
States of America with _____________________ (name of person whom child will be
traveling), during the period and to the locations stated in this consent. The child is
scheduled to depart on or about _____________ (day of the week), ______________,
20__, for _________________________ (city & country traveling to). The child is
scheduled to arrived back in the United States of America on or about
_________________, 20__.
________________________
Father
_________________________
Mother
State: __________
)
County: __________
)
This instrument was acknowledged before me on ____________, 20__, by
_________________ (father).
_________________________________________
Notary Public, State of _________
State: __________
)
County: __________
)
This instrument was acknowledged before me on ____________, 20__, by
_________________ (mother).
_________________________________________
Notary Public, State of _________