Consent for International Travel I, ____________________________(&)______________________MAKE OATH AND SAY Signature Signature that I (we) am(are) the lawful Guardian of: __________________________________born on_________________in__________________ My(our) child has consent to travel with Rich Krinks, Carlos Macedo, Kevin Ricketts, and Tim Nelson of Alameda World Tournament Baseball, Alameda, CA, USA, to visit Mexico. In the event that my(our) child requires emergency medical treatment and I(we) cannot be reached, the above mentioned persons are authorized to make emergency medical decisions in my(our) behalf. Any questions regarding this consent can be directed to me(us) at: ______________________________________ ______________________________________, California, USA _______________________________________ Phone Number SWORN BEFORE ME at the City of ) ______________________in the State of California ) County of______________, this______day of ) ____________________, 2007 ) _____________________________ A NOTARY PUBLIC in and for the City of ______________________, in the State of__________ County of_______________. My commission expires on _______________________.
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