Consent for Child[ren] to Travel Outside the United States
To Whom It May Concern:
Re: Consent for Child[ren] to Travel Outside the United States of America
I,___________________________, am the [mother/father/managing conservator] of the following children:
NAME & DATE OF BIRTH
I give my consent and permission for [this/these] child[ren] to travel outside the United States of America with ____________________________________[name of adult traveling with child[ren]], who is the child[ren]’s ___________________________ [describe relationship], during the period and to the locations stated in this consent.
The child[ren] [is/are] scheduled to depart on or about _______________ [date] for ________________ [location of first intended destination]. [If applicable, include interim locations and dates of travel.]
The child[ren] [is/are] scheduled to arrive back in the United States of America on or about ____________________ [date].
[Name of conservator or parent]
State of Texas
This instrument was acknowledged before me on __________________________, 20__ by [name of conservator or parent].
Notary Public, State of Texas