Consent for Minor Children to Travel

Date:__________________________________________
I/We:____________________________________________________________________________________
authorize my/our minor child(ren): ____________________________________________________
to travel to: ____________________________________________ on: ____________________________
aboard Airline/Flight Number:__________________________________________________________
and/or Cruise Ship: ________________________ with________________________________________
The expected date of return is _________________________________________________________
In addition, I/we authorize ________________________________________________ to consent to
any necessary routine or emergency medical treatment during the afore
mentioned trip.

Signed: (Parent) ________________________________________________________________________
Address:________________________________________________________________________________
City, State, & Zip Code:_________________________________________________________________
Telephone No: (Hm) _______________________________(Cell)_______________________________

Sworn to and signed before me, a Notary Public,
this the ________day of _________________________, 20 _____.

Notary Public Signature________________________________________________________________

NOTARY
SEAL