Authorization for Foreign Travel With Minor (DOC)

							                        Authorization for Foreign Travel With Minor


 To Whom It May Concern:



 This letter concerns my child, _____________________________________________ [name of child],
 a United States citizen and a minor born on _________________________ [child’s date of birth], who
 carries a United States passport with the number ____________________.

 I affirm that I have legal custody of my child, and that there are no pending divorce or child custody
 proceedings that involve my child. I give my full authorization and consent for my child to travel outside
 of the United States with ____________________ [name of adult with whom child will travel], who is
 the ____________________ [state adult’s relationship with child] of my child. The purpose of the travel
 is ________________________ [specify vacation, touring, to visit relatives, to accompany adult on
 business trip or other reason].

 I have approved the following travel plans:
 Dates of travel:             Destinations/Accommodations:
 ____________________         ____________________________________________
 ____________________         ____________________________________________

 Furthermore, I hereby authorize ____________________ [name of adult with whom child will travel] to
 modify the travel plans specified above as he/she deems necessary.




 I declare under penalty of perjury under the laws of the state of ______________________ that the
 foregoing is true and correct.


 _____________________________________________________
 Parent 1’s signature
 Date: ____________________
 Print name: ________________________________
 Address:     ______________________
              ______________________
 Home phone: ____________________                            Work phone: ____________________
 Cell phone or pager: ____________________                   Email: ____________________




© 2001 Nolo                        Authorization for Foreign Travel With Minor             Page 1
 _____________________________________________________
 Parent 2’s signature
 Date: ____________________
 Print name: ________________________________




 [Notary Seal]




© 2001 Nolo                   Authorization for Foreign Travel With Minor   Page 2