AFFIDAVIT
	TO  WHOM  IT  MAY  CONCERN: I_________________________________________________________________________________ give my permission to____________________________________________________________ to take my_____________________, named__________________________________________ born on ________ /_______ / ______ , on a trip out of _________________________                                                                                                       (COUNTRY) This is also our permission for medical assistance to be administered should they become ill or involved in an accident. __________________________________________________________________________________                                       (SIGNATURE OF PARENT OR GUARDIAN)
		Subscribed and sworn to me on this ____________day of____________200    _____________________Notary Public in and for the county of ____________________________________________ State of ________________________________Country of _____________________________