Travel Consent Letter Blank

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  • Words: 153
  • Pages: 2
TRAVEL CONSENT LETTER I,

NAME OF PARENT

to travel with

NAME OF MINOR

between

, provide my consent for my child

and

COUNTRY

.

NAME OF ADULT

.

COUNTRY

THIS AUTHORIZATION IS VALID FOR THE FOLLOWING TIME PERIOD: From:

/ Month

/ Day

To: Year

/ Month

/ Day

SIGNATURE OF PARENT

DATE

PRINT FULL NAME OF PARENT

HOME ADDRESS

NOTARY SEAL

PHONE

NOTARY SIGNATURE

DATE

NOTARY PRINTED NAME

MY COMMISSION EXPIRES ON:

. Year

CARTA DE CONSENTIMIENTO Yo,

, doy mi consentimiento para que mi hijo/a

NOMBRE DEL PADRE

NOMBRE DEL MENOR

entre

viaje con

NOMBRE DEL ADULTO

y

PAIS

.

PAIS

ESTA AUTORIZACIÓN ES VÁLIDA POR EL PERÍODO ESPECIFICADO: De:

/ Mes

/ Dia

A: Año

/ Mes

/ Dia

FIRMA DEL PADRE

. Año

FECHA

NOMBRE COMPLETO DEL PADRE (LETRA DE MOLDE)

DIRECCIÓN

SELLO NOTARIAL

TELÉFONO

FIRMA NOTARIAL

FECHA

NOMBRE DEL NOTARIO (LETRA DE MOLDE)

MI COMISIÓN SE VENCE:

.

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