USA Child Travel Consent
Change Version: Canada

PDF Child Travel Consent Form

A Child Travel Agreement is used by the guardians of a child (e.g. the parents) to give permission for the child to travel domestically or overseas with another caretaker (e.g. a teacher, a relative). This agreement also provides a record of the child.s information, such as birth date, passport number, medical conditions, and what to do in case of an emergency.

More about Child Travel Consent legal forms.

  • Proceed through this form, providing as much information as possible.
  • Do not use the '&' (ampersand) and '"' (double-quotation mark) characters.
  • When you are done, click on 'Build Document' at the bottom.

Governing Jurisdiction:

This agreement will be governed by the laws of which nation?

Select a state:

Legal Guardian Information:

Legal Guardian Information:
A child's legal guardian is the person whom they live with, and who takes care of them. In most cases, this is the parents, or a single parent if there is not joint custody.
Is there only one guardian?
 Yes No

Guardian's Name:

Address (Address, City, State):

Home Phone:

Work Phone:

Cellular Phone:

Second Legal Guardian Information:

Second Legal Guardian's Name:

Do both guardians have the same address?
 Yes No

Address (Address, City, State):

Home Phone:

Work Phone:

Cellular Phone:

Trip Information:

Trip Information:
If there is a custody order or death certificate, the child should bring the original or a certified copy on the trip.
Will the child(ren) be travelling internationally?
 Yes No

Date Leaving country (e.g. October 3rd, 2005):

Date Returning to country (e.g. November 17th, 2005):

Where will the child(ren) be travelling to? (e.g. Toronto, Canada for a summer camp)

Supervision:

Will the child(ren) be travelling with adult supervision?
 Yes No

Will the child(ren) be travelling with both guardian(s)?
 Yes No

Accompanying Adult's Name:

Accompanying Adult's Address (Address, City, State):

In the event of an emergency, if you cannot be contacted immediately, will the accompanying adult have the authority to make emergency medical decisions for your child(ren)?
 Yes No

Child Information:

Number of children permitted to travel:

First Child's Information:

First Child's Full Name (e.g. James Robert Smith):

First Child's Date of Birth (e.g. May 4th, 1998):

First Child's Place of Birth (City, State):

Will this child be carrying a valid passport?
 Yes No

Type of Passport (e.g. American):

Passport Number:

Date of Issue (e.g. January 28th, 2004) :

Place of Issue (City, State):

Does this child have any special medical needs?
 Yes No

What are these special medical needs (e.g. Mary is allergic to peanuts.)?


Second Child's Information:

Second Child's Full Name:

Second Child's Date of Birth:

Second Child's Place of Birth:

Will this child be carrying a valid passport?
 Yes No

Type of Passport:

Passport Number:

Date of Issue:

Place of Issue:

Does this child have any special medical needs?
 Yes No

What are these special medical needs?


Third Child's Information:

Third Child's Full Name:

Third Child's Date of Birth:

Third Child's Place of Birth:

Will this child be carrying a valid passport?
 Yes No

Type of Passport:

Passport Number:

Date of Issue:

Place of Issue:

Does this child have any special medical needs?
 Yes No

What are these special medical needs?


Fourth Child's Information:

Fourth Child's Full Name:

Fourth Child's Date of Birth:

Fourth Child's Place of Birth:

Will this child be carrying a valid passport?
 Yes No

Type of Passport:

Passport Number:

Date of Issue:

Place of Issue:

Does this child have any special medical needs?
 Yes No

What are these special medical needs?


Fifth Child's Information:

Fifth Child's Full Name:

Fifth Child's Date of Birth:

Fifth Child's Place of Birth:

Will this child be carrying a valid passport?
 Yes No

Type of Passport:

Passport Number:

Date of Issue:

Place of Issue:

Does this child have any special medical needs?
 Yes No

What are these special medical needs?


Sixth Child's Information

Sixth Child's Full Name:

Sixth Child's Date of Birth:

Sixth Child's Place of Birth:

Will this child be carrying a valid passport?
 Yes No

Type of Passport:

Passport Number:

Date of Issue:

Place of Issue:

Does this child have any special medical needs?
 Yes No

What are these special medical needs?


Signing Information:

Signing Information:
To ensure that your Child Travel Agreement is valid, have it sworn and signed before a Notary Public (do NOT sign it before visiting the Notary). Make sure to bring government-issued identification and copies of the child(ren)'s birth certificate(s).
In which city will you be signing this document?

Will you be signing this document in a county?
 Yes No

In which county will you be signing this document?

Will you be signing this document in front of a Notary Public?
 Yes No

If this document is not Notarized, it may be invalid.

Date of Signing:

Do you know when you will be signing this agreement?
 Yes No

Month:

Day of month (e.g. 5):

Year (e.g. 2006):