Important
- Authorization for Minor to Travel -

For a minor under the age of 21 to travel out of the United States without both parents or legal
guardians, a notarized affidavit must be obtained and presented to immigration officials upon
departure and return to the United States. Failure to present this affidavit may result in
officials refusing to allow the minor to leave the country.

Please complete and sign the appropriate portion A or B in front of a Notary Public,
and carry this Notarized affidavit with you. It is recommended that you also carry
divorce, custody, death certificates or any other supporting documents.

Affidavit - Authorization for Minor to Travel
Complete either A or B - whichever is applicable

A. I,
(First, Middle, Last Name) ________________________________

(First, Middle, Last Name) ________________________________

hereby accept the conditions for my minor child

(First, Middle, Last Name) _______________________________ to travel out

of the United States from (date) _____________ to (date) ____________

traveling to the country of _____________________ , on the cruise ship or tour

package _______________________, under the custody of

(First, Middle, Last Name) ______________________________________ who

will be responsible for my child during the trip. Furthermore, should my child require
routine or emergency medical treatment during the trip, I specifically authorize the above
named person to make all necessary parental decisions concerning any and all medical
treatment that my child may require.

Signed: _____________________________________

Signed:______________________________________

Phone # _______________________________




B. I, (First, Middle, Last Name) ________________________________

hereby swear that I have sole custody of a minor child

(First, Middle, Last Name) ____________________________ and am authorized to

take this minor child out of the United States from

(date) _____________ to (date) __________

traveling to the country of ____________________________, and to make all decisions

regarding medical treatment.

Signed: ____________________________________

County of: ____________________________

State of: _______________________________

on this _________________ day of _____________, year ___________.

Print name of above signatory: ___________________________________________

appeared before me and, having duly sworn by me, stated that the contents of the foregoing
application are true and complete, and signed the application in my presence.


Notary Public Signature ______________________________

NOTARY SEAL My commission expires: ______________