

Parental/Guardian Permission Letter for Child Traveling Abroad
To whom it may
concern, I / We:
Address:
full name(s) of parent(s) / person(s) giving consent
street address, city, county, Eircode (postcode), country
am / are the parent(s), legal guardian(s) or other authorised person(s) with custody rights, access rights or parental authority over the following child: Information about travelling child
Name:
Telephone and email: telephone email child’s full name as on passport
Date of birth:
Passport number:
dd/mm/yyyy
Information about accompanying organisation
This child has my / our consent to travel with Scout Group: , Scouting Ireland
Scouter in Charge:
Date of Birth:
Passport number:
Contact information during trip
name and number of Scout Group
full name of accompanying person
dd/mm/yyyy
I / We give our consent for this child to travel to: Destination(s):
Travel dates:
to stay with / at (if applicable) at the following address(es):
Telephone and email:
name of destination country / countries
date of departure to date of return
name of person with whom child will be staying / hotel or other accommodation
street address(es), city (cities) province(s)/state(s), country (countries)
This letter must be signed by the parent(s), legal guardian(s) or other authorised person(s) and the Scouter in Charge.
Signature(s) of person(s) giving consent Signature(s) of person(s) giving consent and Signature of Scouter in Charge full name of person giving consent
name of person giving consent
name of Scouter in Charge signature of person giving consent
of person giving consent dd/mm/yyyy
signature of Scouter in Charge