LETTER OF CONSENT TO TRAVEL

DOMINION OF CANADA PROVINCE OF BRITISH COLUMBIA

To Whom It May Concern:

WE, (name) _____________________________ and (name) ______________________________,

both of (address) _________________________________________________, British Columbia,

Canada, (phone) __________________________________, make oath and say:

1. We are the parents of the minor children:

_______________________________, born the ____ day of ____________,

________, at (place of birth) ____________________________________, and holding

Canadian passport number _________________, issued on (date) ______________

at (location passport was issued at) ______________________,

_______________________________, born the ____ day of ____________,

________, at (place of birth) ____________________________________, and holding

Canadian passport number _________________, issued on (date) ______________

at (location passport was issued at) ______________________,

2. We hereby consent to our minor children travelling from Canada to (country or countries)

_________________________________________________________ accompanied by

(name) _____________________________________________________________.

3. (name) ________________________________________ has my permission to authorize

and sign for emergency medical treatment for our above named children, if it is required.

4. Our children will be travelling between Canada and (country or countries)

_________________________________ between the ______ day of

___________________, 20______ and the _______ day of ______________________,

20_____.

We swear this Affidavit to the Governments of Canada and (country or countries) ____________________________________________________ to induce them to allow our children to enter into their respective countries.

AND we make this solemn declaration, conscientiously believing it to be true and knowing that it is of the same legal force and effect as if made under oath. DECLARED BEFORE me at the Town of Sidney, British Columbia,

this ____ day of ______________, 20___. A Notary Public in and for the Province of British Columbia Canada (Permanent Commission)