TRAVEL AUTHORIZATION

We,  ______________________________________________________________________________ and

______________________________________________________________________________ , are the

natural parents of ________________________________________________________________ , a minor,

born __________________________________________ in _____________________________________.

We hereby authorize _______________________________________________________________ and / or

______________________________________________________________, adults in whose care our child

has been entrusted for the period of time commencing _____________________________________________

until _____________________________________________________, to take our child outside of the United

States on vacations to either Canada, Mexico, and / or Europe and back to the United States any time during the stated

period listed above. 

______________________________________________________________

Natural Father

______________________________________________________________

Natural Mother

SUBSCRIBED AND SWORN TO BEFORE ME

THIS _____ DAY OF __________ OF THE YEAR ________

SEAL OF NOTARY