OBRAZEC CONSENT LETTERThe following sample letter can be amended to meet your specific situation and requirements.To Whom It May ConcernI (We), ________________ (full name(s) of custodial and/or non-custodial parent(s)/legal guardian(s)), am (are) the____________________ (lawful custodial parent and/or non-custodial parent(s) or legal guardian(s)) ofChild’s full name: _____________________________________Date of birth (DD/MM/YY): _____________________________Place of birth: ________________________________________Canadian passport number:_____________________________Date of issuance of Canadian passport (DD/MM/YY): ________Place of issuance of Canadian passport: __________________________________ (child’s full name), has my (our) consent to travel withFull name of accompanying person: _______________________Canadian or foreign passport number: _____________________Date of issuance of passport (DD/MM/YY):_________________Place of issuance of passport: ___________________________to visit ______________ (name of foreign country) during the period of __________________ (dates of travel: departure and return). During that period, ________________ (child’s full name) will be residing with ________________ (name of person where child will be residing in foreign country) at the following address:Number/street address and apartment number: ______________City, province/state, country: _____________________________Telephone and fax numbers (work and residence): _______________________Any questions regarding this consent letter can be directed to the undersigned at:Number/street address and apartment number: ______________City, province/state, country: _____________________________Telephone and fax numbers (work and residence): _______________________Signature(s):______________________________________ Date:_________________(Full name(s) and signature(s) of custodial parent, and/or non-custodial parent(s) or legal guardian(s)) Signed before me, ________________ (name of witness), this _________________ (date) at ________ ______ (name of location).Signature: ________________ (name of witness)