Affidavit Of Consent

AFFIDAVIT OF CONSENT

STATE OF ____________________
COUNTY OF ____________________

I/We, ____________________, residing at ____________________, in the county of ____________________ in the state of ____________________ and being duly sworn, do hereby depose and attest that:

1. I/We am/are the legal guardian(s) of ____________________, who is a minor until ____________________.
2. My/Our relationship(s) to the child is/are: ____________________
3. The minor is traveling to ____________________ for the purpose of ____________________
4. I/We am/are unable to accompany the minor because ____________________
5. I/We authorize the minor to travel with ____________________, who is the minor's ____________________
6. The minor will begin traveling on ____________________, and return on ____________________

Subscribed and sworn to before me this ____________________ day of ____________________ 20 ____________________

____________________
(Notary Public),

____________________ County.

My commission expires ____________________ 20 ____________________