Minor (Child)'s Name First Last Birth Location & Date Minor's Place of Birth e.g. "Las Vegas, NV" Minor's Date of Birth Minor's Passport Information Do you want to add the Minor Child's Passport information? Do you want to add the Minor Child's Passport information? YesNo This is recommended for International Travel Minor's Passport Number Passport Date of Issue Passport Expiration Date Traveling Alone The Minor is traveling The Minor is traveling Alonewith Someone Else Name of Person Traveling with the Minor First Last Relationship to Minor Do you want to enter their Passport Information? Do you want to enter their Passport Information? YesNo Highly Recommended. May be required for International Travel. Passport Number Passport Issuing Country Date of Passport Issuance Date of Passport Expiration Itinerary Where is the Minor traveling to? Example "New York, NY, USA" Start Date End Date Parent(s) / Legal Guardian(s) How many Parents / Legal Guardians will be signing this form? SelectOne (1)Two (2) Parent / Legal Guardian's Name First Last Parent / Legal Guardian's Name First Last Parent / Legal Guardian's Name First Last Witness / Notary Public Will the Parent(s) or Legal Guardian(s) sign this form in the presence of a Witness or Notary Public? Will the Parent(s) or Legal Guardian(s) sign this form in the presence of a Witness or Notary Public? YesNo Recommended to be signed in the presence of a Notary Public. Electronic Signature Date of Signature Sign and Print Name Clear Please draw your signature. Print Name Parent / Legal Guardian Sign and Print Name Clear Please draw your signature. Print Name Parent / Legal Guardian Next Save Save and finish later
