CONSENT FOR CHILD/REN TO TRAVEL OUTSIDE THE UNITED STATES
            Date: ____________________________
            To Whom It May Concern:
                  RE:   Consent for Children to Travel Outside the United States of America
            I, ____________________________, am the __________________(mother/father/conservator) of
            _______________________________________________________________________, who
            was/were born on _______________________________________________________, respectively.
            I give my consent and permission for this child/ren to travel outside the United States of America
            with ___________________________________, who is the child/ren's _______________________,
            during the period and to the locations stated in this consent.  The child/ren are scheduled to depart
            on or about _________________________(date) for ______________________________(location).
            The child/ren are scheduled to arrive back in the United States of America on or about
            ______________(date).
                                               printed name: ___________________________
            STATE OF TEXAS                     )
            COUNTY OF ___________________      )
                  This instrument was acknowledged before me on        by _________________.
                                               Notary Public, State of Texas