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Letter of Permission to Travel

IN THE MATTER OF

(full name child)

TO WIT:

I, (full name person giving permission, of (address), Vancouver, in the Province of British Columbia, do solemnly declare that:

1. I am the father of (full name child), born in (place of birth) on (date of birth);

2. I have given my consent for my (wife, husband, partner, ¡Ä), full name person traveling with child), (mother or father) of my (full name child), to travel to (destination) for the period of (from date till date).

3. I authorize my (wife, husband, partner, ¡Ä) to obtain any emergency medical attention that may be required for our said child.


AND I make this solemn declaration, conscientiously believing it to be true and knowing that it is of the same legal force and effect as if made under oath.


DECLARED before me at the
City of Vancouver, in the
Province of British Columbia
This ___ day of (month), 2003.

(signature)__________________
(full name)

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