Affidavit of Parental Consent
Affidavit of Parental Consent For Travel Outside the United States of a Minor Child Without Both Birth Parents Traveling
To the required authorities: I/We, ____________________________ the legal guardian/s of ______________________ (minor child), do hereby authorize the travel of said minor child to _________________________________ Jamaica from the dates of _________________ to __________________ in the care of Rev. Andrew L. Spires (trip/team leader) a representative of Lakewood Baptist Church and any other adults accompanying the trip leader. Furthermore, while in _______________, I/We authorize Rev. Andrew L. Spires and other accompanying adults to seek all necessary medical treatment and care should my/our minor child experience any illness or accident of any kind.
Dated this _________ day of ____________, ________ (month/year) At _____________________ (city/state) ________________________ Father
Notarization Stamp Here
________________________ Mother ________________________ Legal Guardian ________________________ Legal Guardian
_______________________ Notary Public Signature
To the required authorities: I/We, ____________________________ the legal guardian/s of ______________________ (minor child), do hereby authorize the travel of said minor child to _________________________________ Jamaica from the dates of _________________ to __________________ in the care of Rev. Andrew L. Spires (trip/team leader) a representative of Lakewood Baptist Church and any other adults accompanying the trip leader. Furthermore, while in _______________, I/We authorize Rev. Andrew L. Spires and other accompanying adults to seek all necessary medical treatment and care should my/our minor child experience any illness or accident of any kind.
Dated this _________ day of ____________, ________ (month/year) At _____________________ (city/state) ________________________ Father
Notarization Stamp Here
________________________ Mother ________________________ Legal Guardian ________________________ Legal Guardian
_______________________ Notary Public Signature
