Minor Consent Form (Sample):

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To Whom It May Concern:

I/We,  ______[Full Name(s) of Custodial and/or Non-Custodial Parent(s)/Legal Guardian(s)]______
am/are the lawful custodial parent and/or non-custodial parent(s) or legal guardian(s) of:

Child’s full name:              __________________________________________________________________________ 

Date of Birth:                      __________________________________________________________________________
 
Place of Birth:                    __________________________________________________________________________

Passport Number:            ___________________________________________________________________________   


______[Child’s Full Name]_____will be traveling with _____________________ and has my/our consent to apply for a Visa.

Signature(s) of person(s) giving consent:
 
Full Name: ______________________________________            Full Name: ___________________________________

Date: __________________________________________              Date: _______________________________________


Signature: ______________________________________              Signature: ___________________________________

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