VisapourCanada

LETTER OF PARENTAL AUTHORIZATION FOR MINOR CHILD TRAVELING

04- Letter of Authorization for Travel for Minors

"*" indicates required fields

Step 1 of 2

Child's Name*

Given name(s) Name(s)

Date of birth*

Place of birth*

Passport Number:*

Passport Issue Date:*

Passport Issue Country:*

Birth Certificate Registration Number:*

Province or territory of birth certificate issue:*

Province or territory of issue of birth certificate:*

Fill in if necessary for a second child.

Child's Name

Given name(s) Name(s)

Date of birth

Place of birth

Passport Number:

Passport Issue Date:

Passport Issue Country:

Birth Certificate Registration Number:

Province or territory of birth certificate issue:

These children have my consent to travel with:

LETTER OF PARENTAL AUTHORIZATION FOR MINOR CHILD TRAVELING

Parent's Name*

Given name(s) Name(s)

Passport Number:*

Passport Issue Date:*

Passport Issue Country:*

Relationship of this person to the child(ren):*

Mother

Father

I authorize*

Given name(s) Name(s)

Parents' Name

to accompany*

Given name(s) Name(s)

Child Name

Name of the second child if needed:*

Given name(s) Name(s)

Child Name

To get to the following location:

LETTER OF PARENTAL AUTHORIZATION FOR MINOR CHILD TRAVELING

Home address*

Apartment Number Street Town Province

Telephone*

Email*

Departure date from the country:*

Any questions regarding this letter of consent may be directed to the individual/organization giving consent at the following contact information:

LETTER OF PARENTAL AUTHORIZATION FOR MINOR CHILD TRAVELING

Parent's Name*

First name(s) Name(s)

Home address*

Apartment Number Street Town Province

Telephone*

Email*

Signature of the person giving consent*

Date:*

Signature of the witness*

Full name

Signature*

Date:*

This field is for validation purposes and should be left unchanged.

VisapourCanada

VisapourCanada

LETTER OF PARENTAL AUTHORIZATION FOR MINOR CHILD TRAVELING

04- Letter of Authorization for Travel for Minors

Fill in if necessary for a second child.

These children have my consent to travel with:

To get to the following location:

Any questions regarding this letter of consent may be directed to the individual/organization giving consent at the following contact information:

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