04- Letter of Authorization for Travel for Minors

"*" indicates required fields

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

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:*

"*" indicates required fields

Prénom*

Nom de famille*

Courriel*

Téléphone*

Adresse complète*

Numéro civique Rue Ville Province Code Postal Pays

Questions & commentaires*

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Price:

Total à facturer

Carte de crédit*

American Express

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MasterCard

Visa

Maestro

Numéro de carte Date d’expiration Code de sécurité Nom du titulaire

Prénom(Required)

Nom de famille(Required)

Courriel(Required)

Téléphone(Required)

Adresse complète(Required)

Numéro civique Rue Ville Province Code Postal Pays

Questions & commentaires(Required)

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💵 Forfait FAMILIAL

Price:

Total à facturer

Carte de crédit(Required)

American Express

Discover

MasterCard

Visa

Maestro

Numéro de carte Numéro de carte Code de sécurité Nom du titulaire

"*" indicates required fields

Prénom*

Nom de famille*

Courriel*

Téléphone*

Adresse complète*

Numéro civique Rue Ville Province Code Postal Pays

Questions & commentaires*

🚨 Détails de facturation 🚨

💵 Forfait NAS + RAMQ

Price:

📌 Services supplémentaires

Accompagnement en personne

Total à facturer

Carte de crédit*

American Express

Discover

MasterCard

Visa

Maestro

Numéro de carte Date d’expiration Code de sécurité Nom du titulaire

"*" indicates required fields

First name*

Name family*

E-mail*

Phone*

Full address*

Civic Number Rue City Province Postal code Country

Questions & Comments*

🚨 Billing details 🚨

💵 RAMQ package

Price:

📌 Additional services

Assistance

Total to be invoiced

Credit card*

American Express

Discover

MasterCard

Visa

Maestro

Card number Expiration date Safety Code Name of the holder

"*" indicates required fields

Forename*

Name*

Email*

Telephone*

Adresse complète*

Numéro civique Rue Ville Province Code Postal Pays

Questions & Comments*

🚨 Détails de facturation 🚨

💵 Forfait NAS

Price:

📌 Services supplémentaires

Accompagnement

Total à facturer

Carte de crédit*

American Express

Discover

MasterCard

Visa

Maestro

Carte de crédit Carte de crédit Carte de crédit Nom du titulaire

Forename(Required)

Name(Required)

Email(Required)

Telephone(Required)

Adresse complète(Required)

Numéro civique Rue Ville Province Code Postal Pays

Questions & Comments(Required)

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???? Welcome and Integration Package

Price:

???? Additional services

Accompaniment: + 50 CAD

Document Translation: Rates on Valuation

Personalized follow-up after registration: + 25 CAD

Total à facturer

Carte de crédit(Required)

American Express

Discover

MasterCard

Visa

Maestro

Numéro de carte Date d’expiration Date d’expiration Nom du titulaire

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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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