辦理小朋友出國短期遊學需繳付父母同意書表明父母同意委託他人短期行使監護權

此文件需父母親自至公證人處簽名

(本事務所地址:花蓮市林森路399號，電話03-8311899)

公證人確認身分之後對該簽名加以認證

常見的申根國家同意書格式如下:

(不同行)             

                             父母親同意書Parents Agreement

                            -未成年者(18歲以下)不與父母親任一方或監護人同行

For minors not traveling with parents or persons in charge of legal custody

父親/監護人1______________________(姓名)

Father/Custodian1

母親/監護人2_______________________(姓名)

Mother/Custodian2

茲同意

1.子/女/被監護人_____________________________

  hereby authorize son/daughter/minor 

2.子/女/被監護人______________________________

  hereby authorize son/daughter/minor 

3.子/女/被監護人______________________________

  hereby authorize son/daughter/minor 

自    (日)   (月)  (年) 至   (日)    (月)     (年)

from (day) (month)  (year) to (day) (month) (year)

去義大利及其他申根國家旅行，該子/女/被監護人同行者為:

to travel to Italy and other Schengen countries. The child/children will be accompanied by:

姓名:________________關係:_______ 

Name                           relationship

職稱:_______________服務單位名稱:_____

Profession                    name of institution

簽名:   父親/監護人__________________

Signature       Father/Custodian

            母親/監護人__________________

                     Mother/Custodian

主管機關認證(公證人、法院皆可)

Authentication of signature by competent Authorities(i.e. public notary,court)