Free Child Travel Consent Template

Dear Sir or Madam,

I, Catherine Elizabeth Harper, being the Mother of Thomas James Williams (date of birth: 2015-04-12), and a holder of parental responsibility within the meaning of sections 2 to 4 of the Children Act 1989, hereby grant my express consent for my child to travel abroad on the holiday described below, accompanied by Robert Andrew Williams. This consent is given in compliance with section 1 of the Child Abduction Act 1984 and the Children Act 1989, so that my child may leave and re-enter the United Kingdom without unlawful detention or impediment.

Full name: Thomas James Williams
Date of birth: 2015-04-12
Nationality: British
Passport number: 533456789
Passport expires: 2030-05-18

Name: Catherine Elizabeth Harper
Relationship to child: Mother
Address: 24 Rosewood Lane, Guildford, Surrey, GU1 3AB
Phone: +44 7700 900123
Email: c.harper@email.co.uk
Passport number: 533123456
ID reference: UK Driving Licence HARPE804162CE9TW
Basis of parental responsibility: married to the child’s other parent at the time of the child’s birth (Children Act 1989 s.2(1))

The consenting adult confirms that, in relation to this travel, the other person(s) with parental responsibility for the child have consented to this travel (contact details provided below).

Other parental responsibility holder(s):
Name: Robert Andrew Williams
Phone: +44 7700 900456

I understand that, under section 1 of the Child Abduction Act 1984, it is a criminal offence to take a child under 16 out of the United Kingdom without the appropriate consent of every person with parental responsibility, subject to the statutory exceptions for the holder of a Child Arrangements Order (Children Act 1989 s.13(2) — removal for less than one month) and for a special guardian (Children Act 1989 s.14C(4) — removal for less than three months).

Name: Robert Andrew Williams (the accompanying adult)
Relationship to child: Father
Address: 18 Beechcroft Road, Guildford, Surrey, GU2 7HL
Phone: +44 7700 900456
Email: r.williams@email.co.uk
Passport number: 533789012

Destination: France (Paris and the Loire Valley)
Departure date: 2026-07-18
Return date: 2026-07-25
Departure port / airport: London Heathrow Terminal 5 (LHR)
Airline / carrier: British Airways
Flight / service number: BA314 outbound / BA317 return
Accommodation at destination: Hotel Le Marais, 12 Rue de Rivoli, 75004 Paris, France. Tel: +33 1 42 72 00 00

Subject to any unavoidable delay caused by the carrier or force majeure, the child will return to the United Kingdom by the return date stated above and will remain in my primary care thereafter.

Emergency contact at destination: Jean-Pierre Dupont, +33 6 12 34 56 78 (Family friend, Paris)
Medical conditions / allergies / medication: Mild asthma - carries blue reliever inhaler (salbutamol 100mcg). No known allergies.
Medical authority (emergency): In the event of a genuine medical emergency where I cannot be reached in time, I authorise the responsible adult named above and any qualified medical practitioner to take such medical decisions as are reasonably necessary in the best interests of the child, subject to my right to be informed at the earliest opportunity.
Travel insurance: In place (Provider: Admiral Travel Insurance) (Policy no: TRV-2026-00012345)

This consent is given jointly by both holders of parental responsibility for the child. In addition to the consenting parent named above, the following second holder of parental responsibility confirms and consents to this travel and signs this letter below:

Name: Robert Andrew Williams
Relationship to child: Father
Basis of parental responsibility: married to the child’s other parent at the time of the child’s birth (Children Act 1989 s.2(1))
Passport number: 533789012
Phone: +44 7700 900456

By signing below, the second holder of parental responsibility confirms that the appropriate consent required by section 1 of the Child Abduction Act 1984 has been given by every person with parental responsibility for the child.

The child does not share the same surname as one or more of the adults travelling with or receiving the child. This is a common and lawful situation. To assist Border Force, carriers and destination-country immigration officials, the connection between the child and the adult(s) is evidenced by the child’s full UK birth certificate showing the parents’ names, a copy of which is carried with this letter.

Explanation: The child's surname (Williams) is that of his father; the consenting mother reverted to her maiden name (Harper) after divorce. The child's full UK birth certificate names both parents.

I hereby CONFIRM that I have parental responsibility for the child(ren) named above and that, pursuant to section 1 of the Child Abduction Act 1984 and the Children Act 1989, I CONSENT to their travel abroad as described in this letter, in the company of Robert Andrew Williams. I have seen the travel arrangements, I am satisfied that they are in the child’s best interests, and I confirm that no court order prohibits the child from being removed from the United Kingdom (Children Act 1989 s.13). I acknowledge that, under the Child Abduction and Custody Act 1985 and the 1980 Hague Convention, any retention of the child beyond the return date without my consent could constitute wrongful retention.

Scope of consent: This consent extends to all travel by the child outside the United Kingdom during the period from 2026-07-18 to 2026-08-31 (inclusive), including the trip described above, on the terms set out in this letter.

Special instructions: Child must call home every evening before 9pm UK time.

I consent to immigration, police and airline officials contacting me using the details above to verify this letter, and I authorise the disclosure of copies of the child’s passport, my passport and this letter for that purpose (UK GDPR Art.6(1)(a) — consent). I confirm that this letter is true to the best of my knowledge and belief.

Separately from the emergency medical authority above, and noting that merely listing a medical condition does not by itself authorise the administration of medicine, I expressly AUTHORISE the responsible adult named in this letter to administer to the child, and to consent to the administration of, the following regular or as-needed medication in accordance with the dosage and instructions below:

Salbutamol (Ventolin) 100mcg reliever inhaler — 2 puffs as needed for wheezing, up to 4 times daily. Antihistamine (cetirizine 10mg) — 1 tablet daily if hay fever symptoms.

This authority is limited to the medication described and to the period of travel, and does not displace the judgement of a qualified medical practitioner acting in the child’s best interests.

The signature(s) of the person(s) with parental responsibility on this letter were made in the presence of the following independent adult witness, who is not a party to this consent and has no interest in the travel:

Witness name: Margaret Anne Foster
Witness address: 3 Chapel Street, Guildford, Surrey, GU1 4NX

The witness confirms that they saw each signatory sign this letter and that, to the best of the witness’s knowledge, each signatory did so freely. The witness signs in the signature block below.

(a) Photocopy of the child’s biographical passport page.
(b) Photocopy of the consenting parent’s biographical passport page / photographic ID.
(c) Photocopy of the responsible / accompanying adult’s biographical passport page.
(d) Copy of the child’s full UK birth certificate (showing the parents’ names).
(e) Where surnames differ, evidence of the relationship (birth / marriage / divorce certificate or deed poll).
(f) Where applicable, copy of any court order (Child Arrangements Order / PR order) or death certificate of the other parent.
UK Border Force recommends travelling with these documents to avoid delay at the port of departure or re-entry.

YOURS FAITHFULLY,