Permission for Minors to Travel
To and From
This is to certify, that _______________________________ is a
(name of minor traveling)
citizen, born in _____________________, _________________ in the county of
(city) (state)
_______________________, on _____/______/______. As the parent(s) of this
(name of county) month day year
minor, we give permission for him/her to travel to and from the country
of
Church/organization
The scheduled date for this trip is _____________________________.
______________________________*__________________________________
Signature of Mother/Guardian Signature of Father/Guardian
________________________________________________
Parent's Address:
________________________________________________
City, State, Zip code
(________)_____________________
Telephone number
* Must have both parent signatures or documented divorce decree/death certificate. Please fill bottom out ONLY if one parent is traveling to
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Permission for one Parent to accompany a minor
I, give my ,
Spouse's name husband/wife traveling spouse's name
full permission to accompany our ,
son/daughter Child's name
out of and returning to the
possession on the dates of through _____________________.