AUTHORIZATION TO TRAVEL TO A FOREIGN COUNTRY

(Necessary for all participants under age 13)

 

Consul General:

 

We / I_______________________________ of _______________________________________________

           (Parents Name)                                          (Street Address)

 

in _________________________________________________________are parents or guardians and have

    (City, State, Zip)

 

legal custody of __________________________________, a minor child, who resides with me / us at the

                           (Child’s Name)

 

address set forth above.  We / I hereby authorize the minor to travel in _____________________________

                                                                                                                    (Country)

 

during the dates of __________________________________________ with Meeting-God-in-Mission.

                                (Trip Dates)

 

The designated group leader(s) are ______________________________, __________________________. 

                                                          (Group Leader’s Name)                        (Group Leader’s Name)

 

In addition, if we / I, the above parents or legal guardians, are unavailable, permission is hereby granted to

 

the above group leaders to assume decision-making responsibility on behalf of the above minor child,

 

including but not limited to medical and/or legal decisions.

 

 

_______________________________________   ______________________________________  ________________

(Parent / Legal Guardian)                                            (Parent / Legal Guardian)                                          (Date)

 

Note: In the case of two parent families/legal guardians, BOTH parents/legal guardians must sign this form and have it notarized.  In the case of single parent families, the sole parent/legal guardian may sign.

 

 

NOTARY:

 

STATE OF__________________________                 COUNTY OF______________________________

 

 

Be it remembered that on this day, ___________________________, before me, the undersigned, a Notary

 

 

Public in and for the County and State afforesaid, came __________________________ who is personally

                                                                                             (Parents Name)

 

known to me to be the same person(s) who executed the above and foregoing instrument, and they duly

 

acknowledge the execution of this same.

 

IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed my official seal on the day and year above written.

 

 

__________________________                                __________________________________________________

Date Commission Expires                                                            Notary Public