Online – Minor Child Travel Consent Form

I. The Parent(s)




am/are the lawful custodial parent(s) and/or non-custodial parent(s) or legal guardian(s) of:

II. The Minor

III. Traveling Alone/Accompanying Person

IV. Optional - Travel Limits

I authorize my child to travel to the following location

during the period beginning

and ending on

V. Signature(s)