WRITTEN CONSENT FOR CHILD UNDER 18 YEARS TRAVELING
WITH ONLY ONE PARENT OR WITHOUT EITHER PARENT
TO WHOM IT MAY CONCERN:
I (WE) AUTHORIZE THE MINOR
NAMEPASSPORT NO.
DATE OF BIRTH / /
TRAVEL TO Guam FROM August 16, 2027 TO August 27, 2027. Purpose of his / her trip is joining summer school in GUAM.
ACCOMPANIED BY THE FOLLOWING PERSON(S):
NameNAO GEISLER(Relation: Coordinator)
Address
DATE OF BIRTH
TEL+81-90-5105-0682PASSPORT NO.
※ 引率者の住所・生年月日・旅券番号は、主催者が記入します。
FATHER (PRINT NAME)
MOTHER (PRINT NAME)
CONTACT INFORMATION (PHONE NUMBER)
CONTACT INFORMATION (PHONE NUMBER)
SIGNATURE
SIGNATURE
DATE
DATE
WE SOLEMNLY SWEAR THAT HE / SHE SHALL COMPLY WITH THE LAWS AND REGULATIONS OF YOUR COUNTRY, FEDERAL AND LOCAL, NEVER BE A BURDEN, ECONOMIC OR OTHERWISE, TO YOUR COUNTRY AND DEPART COUNTRY WITHIN THE REASONABLE TIME NEEDED FOR TRANSFERS TO AND FROM JAPAN. WE WOULD APPRECIATE IT VERY MUCH IF YOU WOULD TAKE THE NECESSARY ACTION TO GRANT HIS/HER THE ENTRY PERMIT TO YOUR COUNTRY AT YOUR EARLIEST POSSIBLE CONVENIENCE. THANK YOU FOR YOUR COOPERATION.