PARENTAL TRAVEL PERMIT

We, _____________________ and _____________________, both of legal age,

_______________, and residents of ___________________________________
(Citizenship)

and with Tel. # _________________________ after having been duly sworn to in

accordance to law do hereby depose and say:
1.

That we are the biological parents and/or person exercising

parental authority of minor ______________________ born on
______________ and residing in __________________________.

2.

That our child will travel to ________________________________

for ________________________.

3.

That said child will be leaving on __________________ and will

stay in ________________________________________________
for a period of _____________________ and will be taken cared of
by ______________________________.

4.

That we cannot personally travel with our child/children due to

_________________________________.

5.

That we are giving my full consent to the travel of the

aforementioned child abroad and to be accompanied by _________
______________________________.

6. That this affidavit was executed for the purpose of attesting to the truth
of the facts above stated and for whatever legal purpose it may
serve.
Affiant further sayeth naught.

____________________________

__________________________

Signature of Affiant Over Printed Name

Signature of Affiant Over Printed Name