Minor Travel Consent Form

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Select 'domestic' if the child in question is travelling within Ireland. Select 'international' if the child in question is travelling outside of Irish territory.

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CONSENT FORM DOMESTIC TRAVEL


I, ________

of

________,

declare that I give my permission for my child ________, born on ________ in ________, with the following passport number: ________, to travel with their other parent, ________ of

________

carrying a passport issued in ________, with the following passport number: ________.

My child, ________, will travel from ________ to ________ on ________ and return on ________.


Specific Medical Needs/Allergies:

My child, ________, has the following special medical needs:

________


Contact Information:

If there are any questions or concerns regarding ________'s travel, I am contactable at the following:

mobile number: ________

email address: ________



______________________

________



______________________

________



Date: ________

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CONSENT FORM DOMESTIC TRAVEL


I, ________

of

________,

declare that I give my permission for my child ________, born on ________ in ________, with the following passport number: ________, to travel with their other parent, ________ of

________

carrying a passport issued in ________, with the following passport number: ________.

My child, ________, will travel from ________ to ________ on ________ and return on ________.


Specific Medical Needs/Allergies:

My child, ________, has the following special medical needs:

________


Contact Information:

If there are any questions or concerns regarding ________'s travel, I am contactable at the following:

mobile number: ________

email address: ________



______________________

________



______________________

________



Date: ________