Parental consent form

If any of your team members are under age 18 and are not being accompanied on the trip by a parent or guardian, we strongly encourage you to have them complete a “parental consent form” and have it notarized. On occasion, we have encountered some difficulties in having minors cross international borders without the presence of a parent or guardian. You may not experience this, but we encourage you to have notarized forms with you in the event you are questioned at immigration.

A parental consent form should be signed by the team member and both parents or guardians in the presence of a notary public, and carried with the team member when traveling.

Parental consent form

Name of minor __________________________________________________________________________________
                 First             Middle             Last
Address ________________________________________________________________________________________
        Street address
________________________________________________________________________________________________
City                         State               Zip

LEGAL CONSENT FOR MINORS TO TRAVEL
I/we hereby give my/our consent for the above-named person to travel outside the United States.

CONSENT FOR TREATMENT
I/we hereby agree to the performance of such treatment, anesthetics, and operations as in the opinion of the attending physician is deemed necessary on the above-named person.

HEALTH AND ACCIDENT INSURANCE
I/we verify that the above-named person does have adequate personal coverage.

____________________________________ ____________________________________
Father/guardian signature         Date
(if applicant is under 18 years of age)

____________________________________ ____________________________________
Mother/guardian signature         Date
(if applicant is under 18 years of age)

On this the __________________ day of ___________________________ 20___ , before me, the undersigned officer, personally appeared , known to me (or satisfactorily proven) to be the person(s) whose name(s) is/are subscribed to the within instrument, and acknowledged that he/she/they executed the same for the purposes therein contained.

In witness whereof, I here unto set my hand and official seal.

___________________________________
Notary Public
Comments