CONSENT TO TRAVEL WITH MINOR CHILD



CONSENT TO TRAVEL WITH MINOR CHILD

To Whom It May Concern:

I, _____________________________, am the lawful custodial parent of:

Child’s Full Name: ____________________________________

Date of Birth: ____________________________________

Place of Birth: ____________________________________

U. S. Passport No.: ____________________________________

Date of Issuance: ____________________________________

Place of Issuance: ____________________________________

_________________________ has my consent to travel with:

Full Name of Accompanying Person: _________________________________

U. S. Passport No.: _________________________________

Date of Issuance: _________________________________

Place of Issuance: _________________________________

to visit the Greater Toronto Area in Ontario, Canada during the period of January __________, 2007. During that period, ____________________ will be staying with ____________________ at the following address:

Hotel: Sheraton Parkway Toronto North

Address: 600 Highway 7 East, Richmond Hill, Ontario L4B 1B2 Canada

Phone: 905-695-2883

Any questions regarding this consent letter can be directed to the undersigned at:

Name: ____________________________________________________

Address: ____________________________________________________

Phone: ____________________________________________________

Signature: __________________________________

Date: January __________, 2007

Notary

Signed before me, _______________________________, this _______ day of January, 2007 at _______________________ in _________________County, Texas.

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