Parental Consent Guardianship Form

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Parental Consent Guardianship Form
G Adventures is unable to accommodate children under twelve (12) years of age and reserves the right to restrict the number
of travelers under eighteen (18) years of age aboard the vessel. An adult over the age of twenty-one (21) must accompany
each child under the age of eighteen (18). It is imperative that one adult accompany each child.
If the adult accompanying this child is not the childʼs parent, then the below declaration must be signed by the parent or legal
guardian and received by G Adventures prior to departure.
Declaration
Tour name/code:
____________________________________________________________________
Date of tour:
____________________________________________________________________
Name of child:
____________________________________________________________________
Age:
____________________________________________________________________
I am the parent or legal guardian for the above-mentioned child. I do herewith give permission for him/her to travel with the
following individual who is acting as their legal guardian while on this tour.
Name of acting legal guardian:
____________________________________________________________________
Relationship to child:
____________________________________________________________________
Name of parent or guardian:
____________________________________________________________________
Address of parent or guardian:
____________________________________________________________________
Telephone of parent or guardian:
____________________________________________________________________
Signature of parent or guardian:
_______________________________________________
Date: _____________

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