Consent letter for children travelling abroad

The following sample letter is provided by Foreign Affairs and International Trade Canada (www.travel.gc.ca) and can be modified to meet your specific needs and situation.

   
To whom it may concern,  
   
I / We, _____________________________________________________________
full name(s)
am / are the lawful

_____________________________________________________________
person(s) / organization with:
      •
custodial rights,
      • guardianship rights, or
      • parental authority (in Quebec only)

of

_____________________________________________________________
child’s full name

Information about travelling child
 
Date and place of birth: ____________________________
dd/mm/yyyy
  ____________________________
location
Number and date of issue of passport: ____________________________
number
  ____________________________
dd/mm/yyyy
Issuing authority of passport: _____________________________________________________________
country where passport was issued
Information about accompanying person
 
The aforementioned child has my / our consent to travel with
   
Name: _____________________________________________________________
full name of accompanying person

Date and place of birth: ____________________________
dd/mm/yyyy
  ____________________________
location
Number and date of issue of passport: ____________________________
number
  ____________________________
dd/mm/yyyy
Issuing authority of passport: _____________________________________________________________
country where passport was issued
Contact information during trip
 
I / We give our consent for the aforementioned child and accompanying person to visit
 
Location: _____________________________________________________________
name of foreign country
during the period of _____________________________________________________________
date of departure to date of return
to reside with _____________________________________________________________
full name of person with whom child will be residing in foreign country
at the following address: _____________________________________________________________
street address, city
  _____________________________________________________________
province/state, country
Telephone and fax numbers: ____________________________
telephone
  ____________________________
fax
E-mail: _____________________________________________________________
Information about person(s) giving consent
   
Any questions regarding this consent letter can be directed to the person(s) or organization giving consent at:
 
Name(s): _____________________________________________________________
full name(s) of person(s) or organization giving consent
Address: _____________________________________________________________
street address, city
  _____________________________________________________________
province/state, country
Telephone and fax numbers: ____________________________
telephone
  ____________________________
fax
E-mail: _____________________________________________________________
Signature(s) of person(s) giving consent   Signature of witness
   
__________________________________________
signature(s) of person(s) giving consent
_____________________________________________________________
full name of witness
__________________________________________
dd/mm/yyyy
_____________________________________________________________
signature of witness
  ____________________________
dd/mm/yyyy
  ____________________________
location
Signature of accompanying person   Signature of witness
   
__________________________________________
signature of accompanying person
_____________________________________________________________
full name of witness
__________________________________________
dd/mm/yyyy
_____________________________________________________________
signature of witness
  ____________________________
dd/mm/yyyy
  ____________________________
location