STEPPARENT TRAVEL CONSENT
This sample authorizes travel only. It does not create legal guardianship.
Parent / Legal Guardian
Full Legal Name
Stepparent
Stepparent Full Legal Name
Child
Child's Full Legal Name
Date of Birth
Travel Details
Destination(s)
Departure Date
Return Date
Travel Details / Carrier / Itinerary
Authorizing Parent / Guardian Contact
Address
City / State / Postal Code
Telephone
Parent / Legal Guardian
Signature
Printed name
Date