Free Child Travel Consent Template

I/We, Michael Robert Johnson (Father) and Sarah Lynn Johnson (Mother), the parent(s) and/or legal guardian(s) of Emma Johnson, born June 12, 2015, a citizen of United States, do hereby grant permission and consent for said minor child to travel to Mexico, Cancun in the company of David Alan Johnson, Grandfather, from July 1, 2026 to July 15, 2026, for the purpose of Vacation. This consent is granted knowingly and voluntarily, with full understanding of the nature of the trip.

Both parents and/or legal guardians of the above-named minor have reviewed and consented to this travel. Should any questions arise regarding the legal authority for this trip, either signing party may be contacted at the information provided in this document.

I/We hereby authorize David Alan Johnson and any licensed medical provider to evaluate, diagnose, and provide medically necessary treatment to the above-named minor child, including but not limited to: emergency surgery, administration of anesthesia, prescription medications, diagnostic testing, imaging, blood transfusions, and dental procedures, whenever the treating medical provider determines such treatment is urgently required and a parent or guardian cannot be reached in a reasonable amount of time.

This authorization does not expire during the travel period specified above.

This consent may be revoked at any time by providing written notice to the accompanying person, any relevant airline, or the treating medical facility.

Legal framework. This notarized consent is issued consistent with the recommendation of U.S. Customs and Border Protection that minors traveling without both parents carry a written, notarized consent letter. Travel documents and identification at U.S. ports of entry are governed by the Western Hemisphere Travel Initiative (WHTI), 8 C.F.R. §212.0 et seq.; airline passenger screening is governed by the TSA Secure Flight program, 49 C.F.R. Part 1560. Wrongful international removal or retention of a child may implicate the Hague Convention on the Civil Aspects of International Child Abduction (Oct. 25, 1980), implemented by the International Child Abduction Remedies Act (ICARA), 22 U.S.C. §9001 et seq., and may constitute a federal offense under the International Parental Kidnapping Crime Act, 18 U.S.C. §1204. Travel to Mexico with a minor may additionally require the SAM (Salida de Menores) form issued by the Instituto Nacional de Migración; travel to or through Canada aligns with the Canada Border Services Agency recommendation that a child travel with a consent letter from the non-accompanying parent(s). Notarial acknowledgment conforms to the notarial-acts statute of the state of signing (see generally the Revised Uniform Law on Notarial Acts).

I declare that the information provided in this document is true and correct to the best of my knowledge.