Before using this form, check with the public carrier and the embassies of the countries into or through which the child or children will travel to determine if the carrier or the country requires a specific form or other information for a valid consent.
Consent for Child[ren] to Travel Outside the United States
Date: [date]
To Whom It May Concern:
Re: Consent for Child[ren] to Travel Outside the United States of America
I, [name], am the [mother/father/managing conservator] of [name[s] of child[ren]], who [was/were] born on [birth date[s]][, respectively].
I give my consent and permission for [this/these] child[ren] to travel outside the United States of America with [name of adult traveling with child[ren]], who is the child[ren]’s [describe relationship], during the period and to the locations stated in this consent. The child[ren] [is/are] scheduled to depart on or about [date] for [location of first intended destination]. [If applicable, include interim locations and dates of travel.] The child[ren] [is/are] scheduled to arrive back in the United States of America on or about [date].
[Name of conservator or parent]
State of Texas)
County of)
This instrument was acknowledged before me on __________________________ by [name of conservator or parent].
Notary Public, State of Texas