GRANDPARENT TRAVEL CONSENT
I/We are the parent(s) or legal guardian(s) of the child named below. This sample authorizes travel with the named grandparent only. It does not create legal guardianship.
Parent(s) / Legal Guardian(s)
Full Legal Name(s)
Grandparent
Grandparent Full Legal Name
Grandmother
Grandfather
Other grandparent relationship
Child
Child's Full Legal Name
Date of Birth
Travel Details
Destination(s)
Departure Date
Return Date
Travel Details / Carrier / Itinerary
Parent / Guardian Contact
Address
City / State / Postal Code
Telephone
Parent / Legal Guardian
Signature
Printed name
Date
Second Parent / Legal Guardian, if applicable
Signature
Printed name
Date