Date: _____________________
I (we): ______________________________________________________________________________
authorize my/our minor child(ren)/ward: _________________________________________________
born (MM/DD/YYYY): _______________________________________________________________
Passport number(s) and issuing country, if applicable: _____________________________________
to travel on Cruise Ship: __________________________ from (Sail Date): _____________________
Reservation ID: _______________________
with the following accompanying adult (over 21): ___________________________________________
Adult’s Passport Number & issuing country, if applicable: _____________________________________
Their expected date of return is _______________________.
I (we) authorize the above adult to supervise the minor whilst onboard and to sign waivers for the minor to participate in any activities requiring them (e.g., Rock-Climbing wall, FlowRider, water sports, inline or ice skating). In addition, I (we) authorize the above adult to consent to any necessary, routine or emergency medical treatment during the aforementioned cruise, if a qualified medical person advises such.
| Signed: __________________________ | Signed: __________________________ | 
| Print: __________________________ | Print: ___________________________ | 
| (Parent/Legal Guardian) | (Accompanying Named Adult) | 
Address (of Parent/LG):________________________________________
__________________________________________________________
__________________________________________________________
Telephone (of Parent/LG): _________________________________
Sworn to and signed before me,
this _______ day of _______________, 20____
________________________________________
Solicitor/Commissioner for Oaths/Notary Public Signature and Seal