Affidavit of Sole Custody
I, __________________________________________(widowed) (divorced) do hereby swear that I have
sole and legal custody of ___________________________________________________. As such I have
the right to take my child/children into Costa Rica and back into the United States.
_________________________________________________________________ (Parent or Guardian Signature)
Subscribed and sworn to before me this _____ day of _____________, 20____.
___________________________________________________ (Notary Signature)
Notary Public in and for the county of _________________________________
and the state of___________________________________________________.
Parental Consent for Unaccompanied Minor
We, the undersigned _______________________________________________ do hereby give permission
to our son/daughter ___________________________________ to travel alone to Costa Rica for a
period not to exceed __________ days.
_________________________________________________________________ (Parent or Guardian Signature)
Subscribed and sworn to before me this _____ day of _____________, 20____.
___________________________________________________ (Notary Signature)
Notary Public in and for the county of _________________________________
and the state of___________________________________________________.
Affidavit of Other Parental Consent
I, the undersigned, _______________________________________________________________________
Do hereby authorize my (husband/wife) _____________________________________________________
To travel with our (child/children) __________________________________________________________
_________________________________________________ to Costa Rica.
__________________________________________________________________ (Parent or Guardian Signature)
Subscribed and sworn to before me this _____ day of _____________, 20____.
___________________________________________________ (Notary Signature)
Notary Public in and for the county of _________________________________
and the state of__________________________________