LETTER OF PARENTAL AUTHORIZATION
FOR STUDENT TRAVEL OUTSIDE OF THE HOST COUNTRY
SUBJECT TO THE CONDITIONS INDICATED HEREIN.
____________________________________
Date
To Whom It May Concern:
This letter is to advise that my son / daughter __________________________________________
Date of birth (DD/MM/YY) __________________________________
Place of birth ______________________________________________
Passport number ___________________________________________
has my / our permission to travel outside of ____________________________ (country) with his /
her host parents _________________________________________________________________
or the host school __________________________________________________ during his / her
stay in ____________________________ (country) from _________________________ (date of
arrival in host country) to _________________________ (date of return to Canada).
I/We ________________________________ assume full responsibility for the above travel
arrangement.
Please contact the undersigned if more information is required:
_________________________________
_________________________________
Mother or Guardian
Father or Guardian
_________________________________
_________________________________
Contact Telephone
Contact Telephone
_________________________________
_________________________________
Contact Email
Contact Email