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Personal Documents and Forms - Child Travel Consent
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Consent for Domestic Travel with One Legal Guardian

I, __________, declare that I am the lawful Guardian of __________, male, born $month $day, $year at __________.

My child, __________, has my consent to travel with __________ of __________, __________, $state, __________ has a __________ passport numbered __________, which was issued on $month $day, $year at __________, to travel to: ___________________________________________________________.
Any questions regarding this document may be addressed to me at:


__________
__________
__________,$state
USA
Home Telephone:

Signed on this $day day of $momth, $year.

________________________
__________


_________________________
Witness Signature

_________________________
Witness Name

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