Sample Parental Consent Letter

Date: _____/_______/________

To Whom It May Concern:

This letter is to express our consent for our child to travel independently.

Our child’s personal details are as follows:

Full Name: ________________________________________

Date of Birth:______________________________________

Country of Citizenship:_______________________________

Passport Number:___________________________________

Date of Issue:______________________________________

Date of Expiration:__________________________________

Travel details:

Date of Entry to_________________ (destination): _____/_______/________

Date of Exit:_____/_______/________

Address of Stay:_____________________________________________________________

Our child will be accompanied by (if applicable):

Chaperone’s Name:___________________________________

Relationship to Our Child:_____________________________

We will be responsible for any travel expenses incurred by our child while traveling. Should you have

any questions for us, we can be reached by telephone at ____________________.

Thank you for your assistance with our child’s travel.

Sincerely,

_________________________ ______________________________

Mother Father

State of _______________________________________, County of ______________________________

On___________________________(date), before me, _____________________________________________________(notary),

personally appeared, _______________________________________________________________________________(signers),

personally known to me -- OR -- proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument

WITNESS my hand and official seal _______________________________________________(notary signature)

My Commission Expires: ________________________