Online – Minor Child Travel Consent Form Phone I. The Parent(s) I/We, The Parent(s) & The Parent(s) , am/are the lawful custodial parent(s) and/or non-custodial parent(s) or legal guardian(s) of: II. The Minor Full Name * Date of Birth * Age * III. Traveling Alone/Accompanying Person Authorize Travel Alone I authorize my child to travel alone I authorize my child to travel with the following individual Individual Name * Relationship to Child (if applicable) IV. Optional - Travel Limits I authorize my child to travel to the following location Authorized Location during the period beginning Begin Date and ending on End Date V. Signature(s) Parent / Legal Guardian Signature * Date * Parent / Legal Guardian Signature Date
