Consent to Travel

Consent to Travel

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English
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C O N S E N T M i n o r T O p e r m i s s i o n T R A V E L t o t r a v e l I/We,

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Published 06 July 2016
Reads 1
Language English
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C O N S E N T
M i n o r
T O
p e r m i s s i o n
T R A V E L
t o
t r a v e l
I/We, _________________________________________________________________________________________,
Parents Guardians of __________________________________________________________________________,
Give permission to_____________________________________________________________________________,
To travel with aforementioned adult to __________________________________________________________,
On_____________________________________, By___________________________________________________,
Returning on__________________________________________________________________________________,
_______________________________________________, ______________________________________________,  Signature of Guardian or Parent Signature of Guardian or Parent
STATE OF WASHI NGTON
Ack now ledgm ent of I ndiv idual(s)
COUNTY OF _ _ _ _ _ __ _ _ ___ _ _ __ _ __ _ _ ,
On t his dayper sonallyappear ed befor e m e_ __ _ __ _ _ ___ __ _ _ __ _ __ _ __ _ ___ ___ t o now n be, t e k o m t he indiv idual(s)eand for w it hin t he ecut ed ho ex descr ibed in and w goingandinst r um ent , ack now ledged t she/ t hehat he/ ysigned t he sam e as his/ her / t heir fr ee and v olu nt aryact and deed, for t he uses and p ur poses t her ein m ent ioned.
Giv en u nder m y hand and seal of office t his _ _ _ __ _ __ _ day of _ _ _ _ _ __ _ __ _ ___ _ _ __ , 2 0 _ __ _ _ __ .
_ _ _ __ _ __ _ _ __ _ __ _ __ _ ___ _ _ __ _ __ _ _ __ _ __ _ __ _ ___ _ _ __ _ _
Not ar y Public r esiding at __ _ _ ___ __ _ _ __ _ __ _ __ _ _
Pr int ed Nam e: _ _ _ __ _ __ __ _ _ __ _ __ _ _ __ _ __ _ __ _ _
My Com m ission Ex pir es: _ _ _ _ __ _ __ _ _ __ _ __ _ __ _ _
seal
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