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Travel Consent for Minors
Without Supervision
I. The Parent or person exercising parental authority
I, ________, of ________, UMID with the number: ________, make the following declarations:
II. The Minor
________, Male, born on ________ in ________
III. Permission to travel
My child has consent to travel to ________ from ________ to ________, without an adult present.
IV. Contact Information
________:
Address: ________
Phone number: ________
Email Address: ________
__________________________________
________
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