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Child Travel Consent template free sample

Sample
Child Travel Consent

USA Child Travel Consent


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USA Child Travel Consent

[What is a Child Travel Consent?]

Simply answer the questions below to personalize your Child Travel Consent

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.

This document is accurate and up to date! It was last reviewed by a lawyer in May 2013.


... or customize one below.


 

Governing Jurisdiction:

This document will be governed by the laws of which nation?
(Where does the child typically reside?)
Select a State / Territory:
 

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.

If both parents live together, select ONE legal guardian and type both parent's names in the name box.
Is there only one guardian?
Yes No
Guardian's Name:
Address (Address, City, State/Province):
Home Phone:
Work Phone:
Cellular Phone:
 

Second Legal Guardian Information:

Second Legal Guardian's Name:
Do both guardians have the same address?
Yes No
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, 2012):
Date Returning to country (e.g. November 17th, 2012):
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/Province):
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, 2008) :
Place of Issue (City, State):
Does this child have any special medical needs?
Yes No
 

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).
Where will you be signing this document? (City, Province/State, Country)
Will you be signing this document in front of a Notary Public?
Yes No
 

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. 2013):