AFFIDAVIT OF PARENTAL CONSENT

For Travel Outside The State of Your State Of A Minor Child Without Both Birth Parents Traveling!

I, JOHN DOE, the Father Of Said Minor Children do Hereby Authorize JANE DOE, the Mother of said children to travel as a guardian of: Name: Childs name Childs name To the following States without me: CITY, STATE, LOCATIONS VISITING DATE OF TRAVEL
ADDRESS, PHONE# Travel Details.

Date of Birth: 12/12/2012 12/12/2012

From: To:

July 22, 2000 July 26, 2000

The children can be reached at PHONE # 24/7 or via email YOUR EMAIL HERE
Signature: ______________________________________________________________ (Signature Of Non-Traveling Birth Parent )

FATHER CONTACT INFO CELL NO./HOME EMAIL

MOTHER CONTACT INFO CELL NO./HOME EMAIL