Letter of Parental Consent For Minor Child to Travel The undersigned hereby consent(s) for (name of minor)__________ (date of
birth)____________(passport number) to travel with the Boy Scouts of America contingent led by ________________________traveling to _________________________ as set forth below:
Travel Details: (Include destination, flight numbers, arrival/departure times, cruise lines, and tour operator, or attach itinerary.)
Signatures of Both Parents Giving Consent:
(signature)
_________________________________________(signature)
(print name) (address) (phone number)
(print name) (address) (phone number)
If only one parent has signed it is because: I have legal custody of the child………………… I am the sole parent of the child…………………
I am the sole surviving parent of the child……… Other (explain)
____________________________
State/Commonwealth of County of On this 2007, before me, the undersigned officer, personally appeared known to me and, who satisfactorily proved to be the person whose name is subscribed to the within instrument and, acknowledged that it was executed for the purposes therein contained. In witness whereof, I hereunto set my hand and seal. Seal , Notary Public My commission expires on:______________________________ day of