Questionnaire - FASTER DRAFT

Trip Details

How will the child travel?
- Alone
- Accompanied by one parent
- Accompanied by a third party (e.g. aunt, teacher, coach)
How this consent form should be signed?
- By one parent/legal guardian
- By both parents
!
The travel consent form for a child could be signed either by one parent/guardian or by both. This may depend on the following circumstances below.

Both parents have to sign if:

– a child lives together with both parents;
– if parents are divorced, but they have a shared legal custody over a child.

One parent or legal guardian has to sign if:

– one parent has a sole legal custody over a child (this is usually the case if parents are divorced or separated);
– a child has only one living parent (e.g. another parent died).
State briefly the purpose of a child's trip:
State how a child will travel (i.e. means of transportation):
Select a date of departure:
State a place of departure (e.g. train station, airport):
State the date of arrival to the final destination:
State the name of a final destination (e.g. town, airport):
Will the trip include any transit points (e.g. transfer in the airport)?
- No
- Yes
Describe all the details of a transit during a child's trip:
State the name of a place(s), where a child will stay during their trip:
Indicate the intended duration of a child's trip (in days or week):
Indicate the full name and contact details of a person with whom a child stays at place of destination:

!
This could be any relative, family friend, or any other third party under whose supervision a child will remain during their whole stay at the final destination.

Parent/Guardian Details

Indicate a full name of a parent who signs this travel form:
Indicate a full name of Parent No. 1 who signs this travel form:
Indicate a full name of Parent No. 2 who signs this travel form:
Indicate a full name of a child who travels:

!
This information should be provided in accordance with a child’s certificate of birth.
Indicate a child's date of birth:
Indicate a child's international passport number:

Miscellaneous

Indicate a full name of a parent who accompanies a child during the trip:
Indicate passport details of a parent who accompanies a child during the trip:
Indicate a full name of a third party who accompanies a child during the trip:
Indicate passport details of a third party who accompanies a child during the trip:
Does a child have certain medical condition that requires additional attention?
- No
- Yes
!
A child may have certain medical conditions, for instance:

– Asthma;
– Allergies (e.g., food or environmental);
– Diabetes;
– Epilepsy;
– Autism Spectrum Disorder (ASD) etc.
Describe in detail all medical conditions a child has:
Does a child have any severe allergy reactions?
- No
- Yes
List all the products or substance to which a child may have a severe allergic reaction:
Provide emergency contact details for parents/legal guardians (e.g. phone number of email):

Do you want to add a signature?
- Yes
- No
Add your signature:

Select a document's format:

PDF

DOCX

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Product	Subtotal
Child Travel Consent Form × 1	$6.99
Subtotal	$6.99
Total	$6.99
You Pay

Trip Details

How will the child travel?

How this consent form should be signed?

State briefly the purpose of a child's trip:

State how a child will travel (i.e. means of transportation):

Select a date of departure:

State a place of departure (e.g. train station, airport):

State the date of arrival to the final destination:

State the name of a final destination (e.g. town, airport):

Will the trip include any transit points (e.g. transfer in the airport)?

Describe all the details of a transit during a child's trip:

State the name of a place(s), where a child will stay during their trip:

Indicate the intended duration of a child's trip (in days or week):

Indicate the full name and contact details of a person with whom a child stays at place of destination:

Parent/Guardian Details

Indicate a full name of a parent who signs this travel form:

Indicate a full name of Parent No. 1 who signs this travel form:

Indicate a full name of Parent No. 2 who signs this travel form:

Indicate a full name of a child who travels:

Indicate a child's date of birth:

Indicate a child's international passport number:

Miscellaneous

Indicate a full name of a parent who accompanies a child during the trip:

Indicate passport details of a parent who accompanies a child during the trip:

Indicate a full name of a third party who accompanies a child during the trip:

Indicate passport details of a third party who accompanies a child during the trip:

Does a child have certain medical condition that requires additional attention?

Describe in detail all medical conditions a child has:

Does a child have any severe allergy reactions?

List all the products or substance to which a child may have a severe allergic reaction:

Provide emergency contact details for parents/legal guardians (e.g. phone number of email):

Do you want to add a signature?

Add your signature:

Select a document's format:

Billing details

Your order