Consent
Letter for Children Travelling Abroad
16
February 2016
To whom it may concern,
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I / We,
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JOHN SMITH,
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full
name(s) of parent(s) / person(s) / organization giving
consent
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Address:
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123 HILLSIDE RD., TORONTO
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street
address, city
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ONTARIO, CANADA
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province/state,
country
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Telephone and email:
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123-345-7890
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JOHNSMITH@GMAIL.COM
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telephone
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email
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am / are the parent(s), legal guardian(s) or other authorized
person(s) or organization with custody rights, access rights or parental
authority over the following child/ren:
Information About Travelling
Child/ren:
Child #1 Name:
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JOHNNY SMITH
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child’s
full name
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Date and place of
birth:
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08
MAR 2005
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TORONTO, ON
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dd/mm/yyyy
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city,
province/territory
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Number
and date of issue of passport (if available):
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number
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dd/mm/yyyy
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Issuing authority of passport (if
available):
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CANADA
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country
where passport was issued
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Birth certificate registration
number
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Number
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Issuing authority of birth
certificate
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province /
territory where birth certificate was issued
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Child #2 Name:
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JENNY SMITH
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child’s
full name
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Date and place of
birth:
|
09
JUL 2010
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HALIFAX, NS
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dd/mm/yyyy
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city,
province/territory
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Number
and date of issue of passport (if available):
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number
|
dd/mm/yyyy
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Issuing authority of passport (if
available):
|
CANADA
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country
where passport was issued
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Birth certificate registration
number
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Number
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Issuing authority of birth
certificate
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province /
territory where birth certificate was issued
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Information About Accompanying
Person:
The child/ren above has/have my/our consent to travel with
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Name:
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JANE SMITH
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full name
of accompanying person
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Relationship to
child/ren:
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MOTHER
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mother,
father, grandparent, sister, brother, relative, friend, other
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Number & date of
issue of passport: papassport:
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number
|
dd/mm/yyyy
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Issuing authority of passport:
|
CANADA
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country
where passport was issued
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Contact Information During Trip:
I / We give our consent for the
above child/ren to travel to:
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Destination(s):
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PHILIPPINES
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name of destination
country / countries
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Travel dates:
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date of
departure to date of return
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to stay with / at (if applicable)
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MARIA CRUZ; MARIO CRUZ
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name of
person with whom child will be staying / hotel or other accommodation
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at the following address(es)
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123 SAMPALOC,
MANILA; 456
MANGA, MAKATI, METRO MANILA
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street
address(es), city (cities)
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METRO MANILA, PHILIPPINES
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province(s)/state(s),
country (countries)
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Telephone and email
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Name and Signature of Person/s Giving
Consent: Name
and Signature of Witness:
JOHN
SMITH
full name
of witness
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signature(s)
of person(s) giving consent
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signature
of witness
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dd/mm/yyyy
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dd/mm/yyyy
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city,
province/territory
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