[Your Full Name]
[Your Address]
[Your Phone Number]
[Your Email Address]
[Date]
To Whom It May Concern: International Border Agents and Authorities
Affidavit of Consent for International Travel of a Minor
I, [Full Name of Consenting Parent/Guardian], declare that I am the [Mother/Father/Legal Guardian] of the child named below, and I give my full and unrestricted consent for my child to travel as outlined in this document.
Child’s Full Name: [Child’s Full Name]
Child’s Date of Birth: [Child’s Date of Birth]
Child’s Place of Birth: [Child’s Place of Birth]
Child’s Passport Number: [Child’s Passport Number]
Relationship to Child: [Mother/Father/Legal Guardian]
Travel Details
Accompanying Traveller(s): [Full Name(s) of Adult Traveller(s) or “Travel is Unaccompanied”]
Accompanying Traveller’s Passport Number(s): [Passport Number(s) of Adult Traveller(s)]
Relationship of Traveller to Child: [Father/Grandmother/Teacher/Coach, etc.]
Destination Country (Final): [Destination Country]
Purpose of Trip: [Holiday/Educational Trip/Visit Family, etc.]
Date of Departure from UK: [Date of Departure]
Date of Expected Return to UK: [Date of Return]
Contact Information and Emergency Authority
Should any emergency arise concerning the child, I can be reached at the contact details provided below.
I grant permission to the accompanying adult [Name(s) of Accompanying Traveller(s)] to seek and authorise any necessary emergency medical attention for [Child’s Full Name] during this trip.
Consenting Parent/Guardian’s Contact Details:
Address: [Your Current Residential Address]
Phone Number (Mobile): [Your Mobile Phone Number]
Phone Number (Alternative): [Alternative Phone Number]
Email Address: [Your Email Address]
I declare that I have the legal right to grant this consent.
Signature of Consenting Parent/Guardian:
[Type Your Full Name Below Signature]
[Type Your Passport Number Below Signature]