Child Travel Consent
This document records consent for a child to travel and is intended to be shown to airlines, carriers and immigration officials as evidence of that consent.
1. THE CHILD
This consent relates to , born .
Passport details: .
2. PERSON GIVING CONSENT
I, ( of the child), of , contactable on , have parental responsibility for the child.
3. SECOND PERSON GIVING CONSENT
We, ( ) and ( ), both having parental responsibility for the child, give the consent set out below. The second parent/guardian resides at and is contactable on .
4. CONSENT TO TRAVEL
I/We give consent for the child to travel with one of the parents/guardians named above.
5. TRIP DETAILS
The trip is to , departing on and returning on .
6. ACCOMMODATION
While away, the child will stay at .
7. MEDICAL CONSENT
I/We consent to the accompanying adult authorising any necessary emergency medical treatment for the child during the trip if I/we cannot be reached in time.
8. MEDICAL INFORMATION
Relevant medical information for the child: .
9. EMERGENCY CONTACT
Emergency contact during the trip: .
10. DECLARATION
This consent is given freely. It does not override any court order relating to the child.
11. SIGNATURE
Signed by :
Name:
Date:
12. SIGNATURE OF SECOND PERSON
Signed by :
Date:
13. WITNESS
In the presence of the following witness:
Witness signature
Witness full name
Witness address
14. NOTE ON WITNESSING
The witness should be aged 18 or over and independent of the child's family.