| Yellow Bear Journeys, Inc.
Parental Consent Form Date:________________________________ I(We):_______________________________________________ authorize my/our minor child(ren): ____________________________________________________ ____________________________________________________ ____________________________________________________ to travel on the following Tour: __________________________ on the following dates: ______________________________ accompanied by: _________________________________________. In addition, I (we) authorize my(our) child(ren): ____________________________________________________ ____________________________________________________ ____________________________________________________ to consent to any necessary routine or emergency medical treatment during the previously mentioned trip. Signed:____________________________________(Parent) Signed:____________________________________(Parent) Address:_________________________________ _________________________________________ _________________________________________ _________________________________________ Telephone:____________________ Sworn to and signed before me, a Notary Public, this ________ day of ____________, ____ ___________________________________________ Notary Public Signature and Seal |