Child Travel Consent Form
This form serves as a consent document for children traveling with individuals other than their legal guardians or parents. This template is compliant with relevant state laws, including but not limited to [State Name].
Consent Information
I, the undersigned, hereby give my consent for:
- Child's Full Name: ______________________________________
- Date of Birth: ______________________________________
- Traveling With: ______________________________________
- Destination: ______________________________________
- Travel Dates: ______________________________________
Guardian Information
Please provide your contact details:
- Guardian's Full Name: ______________________________________
- Relationship to Child: ______________________________________
- Phone Number: ______________________________________
- Email Address: ______________________________________
- Address: ______________________________________
Emergency Contact Information
If I cannot be reached during the travel period, please contact:
- Name: ______________________________________
- Phone Number: ______________________________________
- Relationship: ______________________________________
Medical Information
Please provide any relevant medical information for the child:
- Allergies: ______________________________________
- Medications: ______________________________________
- Other medical conditions: ______________________________________
Signature
By signing below, I confirm that I have read and understood this form. I grant permission for my child to travel as specified in this document.
Guardian's Signature: ______________________________
Date: ______________________________________
Notarization (if required in your state)
This section may be used for notarization if necessary:
Notary Public Signature: ______________________________
Date: ______________________________________
Seal: