ĭuring that period, (Child’s Name) will be residing with has my/our consent to travel with: (Child’s Full Name)ĭate and Place of issuance of this passport: I/We, (Full Name of Custodial and/or Non-Custodial Parent/Legal Guardian) am/are the lawful custodial parent and/or non-custodial parent or legal guardian of: )ĭate and Place of Issuance of U.S.
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