"Permission to Travel Form"

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Permission to Travel, SCHS
PERMISSION TO TRAVEL FORM
Complete this form and keep it with your passport!
In an international effort to prevent child abduction, many governments have initiated procedures at airport entry and
exit points. Such measures require documentary evidence of relationship and permission of the parent(s) or legal
guardian, not present, for the child's travel. Parents of minor children (under 18 years old) should carefully document
legal custody prior to traveling.
This form must be notarized and signed by both parents or legal guardian(s) of minors under 18 years of age. If one
parent is unable to sign, the form must be accompanied by a copy of a death certificate, divorce decree, or other legal
document that verifies the signing parent is the sole custodial parent. Guardianship papers should be attached when
applicable. If both custodial parents are unable to sign the same form, each parent can submit a separate signed and
notarized form.
Please ensure that students carry the notarized letter with them to the departure point.
PARENTS/GUARDIANS
We, ________________________ and ________________________ or ___________________________________
(Parent)
(Parent)
(Guardian(s))
domiciled at , __________________________________________________________________________________
(Addresses)
do hereby AUTHORIZE our son/daughter, ______________________________________
(Full Name)
to travel to _______________________for the dates of ____________to_____________
(Destination Countries)
(dd/mm/yyyy)
with San Clemente High School students under the supervision of Ms. Elizabeth Kerr.
Parent 1 Signature_____________________________________________________________
Parent 2 Signature ____________________________________________________________
Guardian Signature ___________________________________________________________
NOTARY
State of _________________________ County of ________________________
Subscribed and sworn (or affirmed) before me on this _____________ day of _________________
(Day)
(Month) (Year)
by ____________________________________________________________
(Parent and/or Guardian Names)
Personally known to me or proved to me on the basis of satisfactory evidence to
Place Notary Seal Here
be the person(s) who appeared before me.
Signature______________________________
Printed Name __________________________
Permission to Travel, SCHS
PERMISSION TO TRAVEL FORM
Complete this form and keep it with your passport!
In an international effort to prevent child abduction, many governments have initiated procedures at airport entry and
exit points. Such measures require documentary evidence of relationship and permission of the parent(s) or legal
guardian, not present, for the child's travel. Parents of minor children (under 18 years old) should carefully document
legal custody prior to traveling.
This form must be notarized and signed by both parents or legal guardian(s) of minors under 18 years of age. If one
parent is unable to sign, the form must be accompanied by a copy of a death certificate, divorce decree, or other legal
document that verifies the signing parent is the sole custodial parent. Guardianship papers should be attached when
applicable. If both custodial parents are unable to sign the same form, each parent can submit a separate signed and
notarized form.
Please ensure that students carry the notarized letter with them to the departure point.
PARENTS/GUARDIANS
We, ________________________ and ________________________ or ___________________________________
(Parent)
(Parent)
(Guardian(s))
domiciled at , __________________________________________________________________________________
(Addresses)
do hereby AUTHORIZE our son/daughter, ______________________________________
(Full Name)
to travel to _______________________for the dates of ____________to_____________
(Destination Countries)
(dd/mm/yyyy)
with San Clemente High School students under the supervision of Ms. Elizabeth Kerr.
Parent 1 Signature_____________________________________________________________
Parent 2 Signature ____________________________________________________________
Guardian Signature ___________________________________________________________
NOTARY
State of _________________________ County of ________________________
Subscribed and sworn (or affirmed) before me on this _____________ day of _________________
(Day)
(Month) (Year)
by ____________________________________________________________
(Parent and/or Guardian Names)
Personally known to me or proved to me on the basis of satisfactory evidence to
Place Notary Seal Here
be the person(s) who appeared before me.
Signature______________________________
Printed Name __________________________