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) ________________________________   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: _____________________________________ 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: ______________