Legal Travel Consent Form

LEGAL TRAVEL CONSENT FORM

This Legal Travel Consent Form is made effective as of by and between Consenting Party: , Address: (hereinafter “Consenting Party”), and Designated Companion: , Address: (hereinafter “Designated Companion”).

Minor Child: ; Date of Birth: ; Passport/ID No.: ; Nationality: .

RECITALS

WHEREAS, Consenting Party is the parent or legal guardian of the Minor Child identified above and has the legal authority to grant permission for the Minor Child to travel;

WHEREAS, Consenting Party wishes to authorize the Designated Companion to accompany, supervise, and act on behalf of the Minor Child for the travel described in this Consent; and

WHEREAS, the parties desire to set forth the terms, conditions and scope of that authorization in a written instrument acceptable to both parties.

NOW, THEREFORE

1. AUTHORIZATION TO TRAVEL

Consenting Party hereby grants permission to Designated Companion to travel with the Minor Child on the itinerary and dates set forth below and to take all actions reasonably necessary to effectuate such travel. Travel departure date: ; Expected return date: .

2. SCOPE OF AUTHORITY

The authority granted includes: consenting to the Minor Child’s travel, consenting to routine and emergency medical treatment, executing travel-related documents, and presenting or providing copies of the Minor Child’s passport, birth certificate, and other identification documents to third parties as reasonably required for travel. This authorization does not transfer parental rights or guardianship.

3. MEDICAL AUTHORIZATION

Consenting Party authorizes Designated Companion to consent to any medical or surgical treatment, emergency transportation, and hospitalization for the Minor Child that a licensed medical provider reasonably deems necessary while the Minor Child is traveling, if Consenting Party cannot be reached despite reasonable efforts.

Consent to medical treatment: By checking this box, Consenting Party expressly authorizes the medical actions described above.

4. TRAVEL DOCUMENTS AND IDENTIFICATION

Consenting Party permits Designated Companion to retain copies of or temporarily possess the Minor Child’s passport, visa, birth certificate and other identification documents for the purpose of travel and to present such documents to officials, carriers, lodging providers, and medical personnel as needed.

5. REPRESENTATIONS, WARRANTIES, AND COVENANTS

Consenting Party represents and warrants that: (a) Consenting Party is the parent or legal guardian of the Minor Child and has full authority to grant the permissions set forth herein; (b) there are no court orders, custody agreements, or other legal impediments that would prohibit the Minor Child from traveling with the Designated Companion; and (c) all information supplied in this form is true and correct to the best of Consenting Party’s knowledge.

Designated Companion covenants to exercise reasonable care for the safety and welfare of the Minor Child and to comply with applicable laws and the terms of this Consent.

6. LIABILITY AND INDEMNIFICATION

To the fullest extent permitted by law, Consenting Party agrees to indemnify and hold harmless Designated Companion from and against any and all claims, liabilities, losses, damages, costs and expenses (including reasonable attorneys’ fees) arising out of or relating to any misrepresentation by Consenting Party, except for claims resulting from the gross negligence or intentional misconduct of the Designated Companion.

7. NOTICES

All notices required or permitted under this Agreement shall be in writing and delivered by hand, overnight courier, or registered mail to the addresses set forth below or to such other address as either party may designate by notice to the other.

8. GOVERNING LAW; VENUE

This Agreement shall be governed by and construed in accordance with the laws of the State of , without regard to conflict-of-law principles. The parties submit to the exclusive jurisdiction of the state and federal courts located in that state for any action arising under or relating to this Agreement.

9. ENTIRE AGREEMENT; SEVERABILITY; AMENDMENT; WAIVER; COUNTERPARTS

This document constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements and understandings, whether written or oral. If any provision of this Agreement is held invalid or unenforceable, that provision shall be modified to the minimum extent necessary to make it enforceable, and the remainder of this Agreement shall remain in full force and effect. Any amendment to this Agreement must be in writing and signed by both parties. No waiver of any provision shall be effective unless in writing signed by the party against whom enforcement is sought. This Agreement may be executed in counterparts, each of which shall be deemed an original but all of which together shall constitute one instrument.

10. EMERGENCY CONTACTS

CERTIFICATION

By signing below, Consenting Party certifies under penalty of perjury that Consenting Party is the parent or legal guardian of the Minor Child and that the statements contained herein are true and correct. Consenting Party acknowledges that Designated Companion will rely on this consent in effectuating the Minor Child’s travel and medical care and agrees that such reliance is reasonable.

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