Bus parental authorisation form

PARENTAL CONSENT FOR TRANSPORT OF MINORS

I, the undersigned, Mr/Madam (name and surname) …………………………………………………………………………………………………………………

Residing at …………………………………………………………………………………………………………………

Authorize my child (name and surname) …………………………………………………………………………………………………………………

Born on……………………………………………………………………………………………………….

Of whom I am the Father/Mother/ Legal guardian

To travel on ...../...../.......... at ........h....... (specify date and time)

from ............................................. to......................................... (specify cities of departure and arrival).

If needed, I can be contacted: Mobile phone #: .................... Home phone #: .......................................... Professional phone #: .........................................

e-mail: ..............................................................................................................................................

I hereby authorize my child to make the above-mentioned travel.

Done at……………….., on …………………..

Signature