[Your Name]
[Your Address]
[City, State, ZIP Code]
[Email Address]
[Phone Number]
[Date]
To Whom It May Concern,
I, [Your Name], residing at [Your Address], am the legal parent/guardian of [Child’s Full Name], born on [Child’s Date of Birth]. I hereby authorize [Authorized Person’s Name], residing at [Authorized Person’s Address], to travel with my child from [start date] to [end date].
Travel Details:
- Destination(s): [Destination(s)]
- Purpose of Travel: [Purpose of travel, e.g., vacation, visiting relatives, educational trip]
- Mode of Travel: [Mode of travel, e.g., flight, train, bus, car]
- Accompanying Adult’s Contact Information: [Accompanying Adult’s contact details]
Accompanying Adult’s Information:
- Full Name: [Accompanying Adult’s Full Name]
- Date of Birth: [Accompanying Adult’s Date of Birth]
- Passport Number: [Accompanying Adult’s Passport Number]
- Relationship to Child: [Relationship to child]
I have provided the necessary documentation, including a copy of my identification, a copy of [Child’s Full Name]’s birth certificate, and a copy of the accompanying adult’s identification. In case of any emergencies or if further information is required, please contact me at [your phone number] or [your email address].
I trust [Authorized Person’s Name] to ensure the safety and well-being of my child throughout the trip.
Thank you for your attention to this matter.
Sincerely,
[Your Name]
[Signature]
[Notary Public’s Name, Signature, and Seal (if required)]