Travel Authorization Form printable pdf download

Travel Authorization Form

My Son___________________________________________ Who was born On the _____day

___________ month in the year__________ in the city of _____________________in the

county of__________________In the state of____________________________________________

Is a citizen of the United States of America and currently resides

At_________________________________________________________________________________________________

I authorize Keewaydin to bring him into Canada when he is on Camping

trips while he is a camper at Keewaydin Camps in Salisbury, Vermont.

Signed,

_______________________________________

Parent/ Guardian

_______________________________________

Phone Number

I acknowledge that the above signature is that of the parent or

guardian of the camper named above on this ______________ day of

_________________ in the year of 20___________.

____________________________ State of __________________ Term Expires ___________

Notary Signature

Travel Authorization Form