Date: _____________________
I (we): ______________________________________________________________________________
authorize my/our minor child(ren)/ward: _________________________________________________
born (MM/DD/YYYY): _______________________________________________________________
Passport number(s) and issuing country, if applicable: _____________________________________
to travel on Cruise Ship: __________________________ from (Sail Date): _____________________
Reservation ID: _______________________
with the following accompanying adult (over 21): ___________________________________________
Adult’s Passport Number & issuing country, if applicable: _____________________________________
Their expected date of return is _______________________.
I (we) authorize the above adult to supervise the minor whilst onboard and to sign waivers for the minor to participate in any activities requiring them (e.g., Rock-Climbing wall, FlowRider, water sports, inline or ice skating). In addition, I (we) authorize the above adult to consent to any necessary, routine or emergency medical treatment during the aforementioned cruise, if a qualified medical person advises such.
Signed: __________________________ |
Signed: __________________________ |
Print: __________________________ |
Print: ___________________________ |
(Parent/Legal Guardian) |
(Accompanying Named Adult) |
Address (of Parent/LG):________________________________________
__________________________________________________________
__________________________________________________________
Telephone (of Parent/LG): _________________________________
Sworn to and signed before me,
this _______ day of _______________, 20____
________________________________________
Solicitor/Commissioner for Oaths/Notary Public Signature and Seal