Signature(s) of person(s) giving consent:

Legal Guardian 1:

Signature:

Date:

Name:

This document for consent remains valid only for the period stipulated during the specified period of the trip abroad. If this letter of consent contains information about only one parent or legal guardian, this means that the minor has only one legal guardian and not two, according to information from guardian. The result of this gives the legal guardian the right to individually decide on consent. This letter of consent is signed by the mother of the child and / or a legal guardian, the father of the child and / or a legal guardian.