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Includes itinerary authorization for travel dates, medical and emergency treatment consent, liability release, leader names, in loco parentis authority, and required signatures with notary acknowledgement.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/minor-travel-consent-minor-child-travel-consent-form-sign-and-notarize/275295/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/minor-travel-consent-minor-child-travel-consent-form-sign-and-notarize/275295.png","ImageObject",442,249,{"name":42,"@type":43},"Margaret","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-23","2026-09-15",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",10,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What information must parents or legal guardians provide in this consent form?","Question",{"text":63,"@type":64},"Parents/legal guardians must provide their lawful custodial status and identify themselves, along with full name and address for the signature section.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How does the form authorize whether the minor travels alone or with someone?",{"text":68,"@type":64},"The form includes checkboxes to authorize the child to travel alone or to travel with a specified individual or organization, including relationship and companion passport details if applicable.",{"name":70,"@type":61,"acceptedAnswer":71},"What permissions does the form grant regarding medical treatment and emergency care?",{"text":72,"@type":64},"It expressly authorizes consent to x-ray examination and medical or surgical diagnosis/treatment and hospital care under supervision of licensed qualified medical personnel if needed due to illness or injury.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},275295,1790280687,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":140,"read_time":22},137451207643,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","MINOR (CHILD) TRAVEL CONSENT  \nI. The Parent(s)  \nI/We,   , am/are the lawful custodial parent(s) and/or non-custodial parent(s) or legal guardian(s) of:  \nII. The Minor  \nFull Name:    \nDate of Birth:    \nPlace of Birth:    \nPassport Number (if applicable):    \no Country of Issuance:    \no Date Issuance:    \no Date Expiration:    \nIII. Traveling Alone/Accompanying Person ☐ - I authorize my child to travel alone.  \n☐ - I authorize my child to travel with the following individual/organization:  \n• Individual/Organization Name: /Northern Lights Council High Adventure Contingent  \n• Relationship to Child (if applicable): Parent  \n• U.S. or Foreign Passport Number (if applicable):  \no Country of Issuance:  \no Date Issuance:  \no Date Expiration:  \nIV. Itinerary  \nI authorize my child to travel to Cozumel, MX, during the period beginning on June 21, 2025 and ending on June 28, 2025.  \nWe further expressly authorize and consent to any x-ray examination, anesthetic, medical, or surgical diagnosis or treatment, and/or hospital care under the general or special supervision, and on the advice of, a licensed physician, surgeon, anesthesiologist, dentist or other qualified medical personnel acting under their supervision, for our child, should the same become necessary because of illness or injury.  \nNow, therefore, in consideration of the permission extended to our child to accompany the High Adventure group and participate in the trip, we do hereby for ourselves, our child, our heirs, executors and administrators, remise, release, and forever discharge the Northern Lights Council, group leader(s):  \nJefri S. Jones, Janice M. Jones  \n(List the Leaders(s) First and Last Name(s))  \nIt is my/our intention by this document to consent to our child’s participation in the High Adventure trip, to consent To all the group leader(s):_ (Jefri S. Jones, Janice M. Jones) or accompanying Parent Name here.  \nTo act in loco parentis for the duration of the High Adventure trip; and to waive and forego all right of action of ourselves and our child against the parties herein before named.  \nV. Signature(s)  \nParent / Legal Guardian Signature:   Date:    \nFull Name:    \nAddress:   \nParent / Legal Guardian Signature:   Date:    \nFull Name:    \nAddress:   \nExecuted in the presence of:  \n(Signature)  \nNOTARY PUBLIC IN AND FOR  COUNTY,   \n(State)  \nSubscribed and sworn to before me this  day of  ,    \n(NOTARY SEAL)","cbCaironHPBHRx9r","https://ap.wps.com/l/cbCaironHPBHRx9r","pdf",146300,"English","# Parent(s)\n## Minor\n## Traveling Alone/Accompanying Person\n## Itinerary\n## Signature(s)","[{\"question\":\"What information must parents or legal guardians provide in this consent form?\",\"answer\":\"Parents/legal guardians must provide their lawful custodial status and identify themselves, along with full name and address for the signature section.\"},{\"question\":\"How does the form authorize whether the minor travels alone or with someone?\",\"answer\":\"The form includes checkboxes to authorize the child to travel alone or to travel with a specified individual or organization, including relationship and companion passport details if applicable.\"},{\"question\":\"What permissions does the form grant regarding medical treatment and emergency care?\",\"answer\":\"It expressly authorizes consent to x-ray examination and medical or surgical diagnosis/treatment and hospital care under supervision of licensed qualified medical personnel if needed due to illness or injury.\"}]","Minor Travel Consent - Minor (Child) Travel Consent Form - Sign and Notarize | PDF",1789486365]