Parental/Guardian Permission Letter for Child Traveling Abroad To whom it may concern, I / We:
full name(s) of parent(s) / person(s) giving consent
Address:
street address, city, county, Eircode (postcode), country
Telephone and email:
telephone
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: 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 , Scouting Ireland
to travel with Scout Group: name and number of Scout Group
Scouter in Charge: full name of accompanying person
Date of Birth:
dd/mm/yyyy
Passport number: Contact information during trip I / We give our consent for this child to travel to: Destination(s): Travel dates:
name of destination country / countries to date of return
to stay with / at (if
date of departure
applicable) at the following
name of person with whom child will be staying / hotel or other accommodation
address(es): Telephone and email:
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 of Scouter in Charge
Signature(s) of person(s) giving consent
Signature(s) of person(s) giving consent
full name of person giving consent
full name of person giving consent
full name of Scouter in Charge
signature of person giving consent
signature of person giving consent
signature of Scouter in Charge
dd/mm/yyyy
dd/mm/yyyy
dd/mm/yyyy
This document is to be shredded by the relevant Scout Group after the child has returned from the trip abroad, unless their is a legal requirement to retain a copy.
and