NOTARIZED LETTER OF PERMISSION TO TRAVEL
FOR TRAVELERS UNDER 18 YEARS OF AGE AT THE DATE OF TRAVEL
All travelers are required to bring this notarized letter of consent form to the Port/Airport
on the day of departure or they will be denied boarding.
It is the sole responsibility of each traveler under the age of 18 to carry and provide this notarized consent form
throughout their trip. There will be no refunds issued for passengers denied boarding for failing to provide this
notarized written consent for travel documentation.
We, the undersigned, ______________________________ _______________________________
PRINT THE NAMES OF BOTH PARENTS OR LEGAL GUARDIANS
do hereby grant full permission for our son/daughter _______________________________________
PRINT YOUR SON/DAUGHTER’S NAME
, whose birthday is _____/_____/________(Month/Day/Year), permission to travel with Xtreme Trips
HS to ________________________ on the dates of _______________________________________.
If this consent form has only one of the parent’s signatures, the traveler must also provide a notarized copy of the deceased
parent’s death certificate or a copy of divorce papers showing sole custody of the parent who signed the notarized parental
SIGNATURE OF FATHER OR GUARDIAN: ___________________________________ DATE:________
SIGNATURE OF MOTHER OR GUARDIAN: __________________________________ DATE:________
STREET ADDRESS CITY STATE ZIP
Phone Number: _______________________________
NOTARY PUBLIC SIGNATURE:
Subscribed and Sworn to before me this ________ day of ________________________ 20______
Notary Public In and For the County Of: ________________________ And the State of:___________