"Travel Permission Form for Minors"

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TRAVEL PERMISSION FOR MINORS
Any student under the age of 18 at the time of departure MUST carry a letter signed by his/her parent(s)/legal guardian(s)
stating that the student has permission to participate in the program. This letter is necessary in the U.S. as well as
traveling out of the U.S.
To be valid, this letter must be notarized.
Students under the age of 18 traveling without this letter may be denied permission to leave the U.S. or denied entry into
their country of destination. Depending on individual circumstances, additional supporting documentation may be
required. Check with the airline issuing your ticket, as well as with the Embassy or Consular Office of the country of
countries of destination.
Names and contact information of both parents or legal guardians:
Mother’s Name:______________________________________________________
Last
First
Address:_______________________________________________________________________________Apt #:______
Street Address
City:___________________________State:________Zip:___________Phone:__________________________________
Father’s Name:________________________________________________________
Last
First
Address:____________________________________________________________________________Apt #:_________
Street Address
City:___________________________State:________Zip:___________Phone:__________________________________
We hereby give permission for our son/daughter__________________________________________________________
Student traveler’s full name
to participate in a mission trip with Kids Around The World, Inc. traveling to _____________________________________
on_______________________________________________________________________________________________
Dates of program including travel days
(Please sign this form in the presence of a Notary)
Mother’s Signature:_______________________________________________________Date:_____________________
Printed Name:_____________________________________________________________________________________
______________________________________________
________________________________
Signature of Notary
date
Notary stamp
Father’s Signature:____________________________________________________Date:________________________
Printed Name:_____________________________________________________________________________________
______________________________________________
________________________________
Signature of Notary
date
Notary stamp
TRAVEL PERMISSION FOR MINORS
Any student under the age of 18 at the time of departure MUST carry a letter signed by his/her parent(s)/legal guardian(s)
stating that the student has permission to participate in the program. This letter is necessary in the U.S. as well as
traveling out of the U.S.
To be valid, this letter must be notarized.
Students under the age of 18 traveling without this letter may be denied permission to leave the U.S. or denied entry into
their country of destination. Depending on individual circumstances, additional supporting documentation may be
required. Check with the airline issuing your ticket, as well as with the Embassy or Consular Office of the country of
countries of destination.
Names and contact information of both parents or legal guardians:
Mother’s Name:______________________________________________________
Last
First
Address:_______________________________________________________________________________Apt #:______
Street Address
City:___________________________State:________Zip:___________Phone:__________________________________
Father’s Name:________________________________________________________
Last
First
Address:____________________________________________________________________________Apt #:_________
Street Address
City:___________________________State:________Zip:___________Phone:__________________________________
We hereby give permission for our son/daughter__________________________________________________________
Student traveler’s full name
to participate in a mission trip with Kids Around The World, Inc. traveling to _____________________________________
on_______________________________________________________________________________________________
Dates of program including travel days
(Please sign this form in the presence of a Notary)
Mother’s Signature:_______________________________________________________Date:_____________________
Printed Name:_____________________________________________________________________________________
______________________________________________
________________________________
Signature of Notary
date
Notary stamp
Father’s Signature:____________________________________________________Date:________________________
Printed Name:_____________________________________________________________________________________
______________________________________________
________________________________
Signature of Notary
date
Notary stamp
TRAVEL PERMISSION FOR MINORS (cont.)
I give ________________________________________________________permission to make any medical decisions for
Name of adult traveling with your child
my son/daughter ________________________________________while he/she travels with Kids Around the World
son/daughter’s name
to ______________________________________ on _____________________________________________________.
Country or U.S. State
dates
_______________________________________________
________________________________
Signature of either parent
(witnessed by notary)
date
Don’t forget to have this form notarized. Please retain a copy of this form for your records.
__________________________________________
___________________________________
Signature of Notary
date
Notary Stamp
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