MINOR TRAVEL CONSENT
I am the parent or legal guardian of the child named below. I authorize the travel described in this sample.
Parent / Legal Guardian
Full Legal Name
Parent
Legal guardian
Child
Child's Full Legal Name
Date of Birth
The child will travel:
Alone
With the named accompanying adult
Accompanying Adult, if applicable
Accompanying Adult Full Legal Name
Relationship to Child
Travel Details
Destination(s)
Departure Date
Return Date
Travel Details / Carrier / Itinerary
Parent / Legal Guardian Contact
Address
City / State / Postal Code
Telephone
Parent / Legal Guardian
Signature
Printed name
Date