Consent Letter For Minors Travelling Abroad Form Page 2
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1
2Contact information during trip
I/we hereby give my/our consent that the aforementioned minor and accompanying person make a visit
abroad to:
____________________________(name of country)
During the period
from:
__________________________ _ (date of departure)
flight number departure flight ::
____________
until:
____________________________(date of return)
flight number return flight:
____________
To reside at:
Name family/ hotel/ camp side/apartment:
Address I:
Area code and city:
Country:
Phone number:
E-mail:
Address II:
Area code and city:
Country:
Phone number:
E-mail:
Signatures of persons giving consent:
This form is filled out truthfully.
_____
_____ (signature
_____
___
__ (signature
of person giving
of person giving
consent)
consent)
_____
_____ (date and place)
_____
_____ (date and place)
Signature of the person who is travelling with the minor
This form is filled out truthfully.
_____________________ (signature person travelling with minor)
_____________
_ (date and place)
During the vacation the contact between the child and the parent not going on this vacation will be
organised by the parents in joint consultation
Appendices:
-
Copy of travel document of the consent giving parent
-
Recent certified extract of residence
-
Certified extract of birth certificate
-
Recent certified extract custody register (this can be requested from the court)
-
Possibly custody or access court order
-
Possibly copy of the divorce degree
Pagina 2 van 2
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