To Whom It May Concern:
I (We), ______________________________ (full name(s) of custodial and/or non-custodial parent(s)/legal guardian(s)), am (are) the ___________________________ (lawful custodial parent and /or non-custodial parent(s) or legal guardian(s)) of
Child’s full name: ______________________________________
Date of birth (DD/MM/YY): _______________________________
Place of birth: _________________________________________
British passport number: ________________________________
Date of issue of British passport (DD/MM/YY): _______________
Place of issue of British passport: _________________________
_________________ (Child’s name), has my (our) consent to travel with
Full name of accompanying person: _______________________
British or foreign passport number: ________________________ Date of issue of passport (DD/MM/YY): _____________________
Place of issue of passport: _______________________________
To visit ________________ (name of country) during the period of ___________
(dates of travel: departure and return). During that period, __________________
(child’s full name) will be residing with _______________________________ (name
of the person where the child will be residing in foreign country) at the following address:
Number/street address and apartment number: ______________
____________________________________________________
City, province/state, country: _____________________________
____________________________________________________
Telephone, mobile & fax numbers (daytime and evening): ______
____________________________________________________
Any questions regarding this consent letter can be directed to the undersigned at:
Number/street address and apartment number: ______________
____________________________________________________
City, province/state, country: _____________________________
____________________________________________________
Telephone, mobile & fax numbers (daytime and evening): ______
_____________________________________________________
Signature(s): ___________________________________ Date: _____________
(Full name(s) and signature(s) of custodial parent, and/or non-custodial parent(s) or legal guardian(s))
Signed before me, _____________________ (name of witness), on _________ (date) at ___________________________ (location).
Signature: ____________________ (name of witness)