View a sample US Territories PDF Child Travel Consent
View a sample
US Territories PDF Child Travel Consent

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Also called:
  • This form also known as: child travel form, free travel consent, travel form, travel permisson, parental permission, PDF, pdf child travel

US Territories Child Travel Consent
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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.

This form has not been reveiwed by an attorney specializing in the laws of the U.S. Territories. You should speak with a lawyer in your jurisdiction to ensure it is valid for your purposes.

Governing Jurisdiction:

Which territory are you in?

This agreement will be governed by the laws of:

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, Territory):

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, Territory):

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, Territory):

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, Territory):

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, Territory):

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):