Minor Child Passport Consent Affidavit PDF

Create a clear, recordkeeping-focused passport consent affidavit for a minor child.

Child details

Child full name *

Child date of birth *

Place of birth

Parent/guardian 1 name *

Parent/guardian 1 address *

Parent/guardian 1 phone

Parent/guardian 1 email

Parent/guardian 2 name *

Parent/guardian 2 address

Parent/guardian 2 phone

Parent/guardian 2 email

Keep the statement factual and specific for recordkeeping.

Consenting parent name *

Non-consenting parent name

Passport purpose *

Travel date range

Destination countries

Sworn statement *

Notary state

Notary county

Date signed *

Signature name *

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