30+ Letter of Consent Examples [Edit Online] & Templates [Word, Google Docs]

Anna and Brian Lee
890 Spruce Street
Portland, OR 97205
anna.lee@example.com
456-xxxx-7890
April 27, 20xx

Mr. Steven Harris
Youth Club Coordinator
Portland Youth Club
234 Maple Avenue
Portland, OR 97209

Subject: Parental Consent for Emily Lee’s Participation in Youth Club Activities

Dear Mr. Harris,

We, Anna and Brian Lee, parents of Emily Lee, hereby grant our consent for her to participate in the various activities organized by the Portland Youth Club for the upcoming summer season.

Details of Consent:

The activities include weekly workshops, outdoor excursions, and community service projects scheduled between June 1, 20xx and August 31, 20xx. Emily is enthusiastic about engaging in these programs and we support her involvement wholeheartedly.

Medical Authorization:

In the event of a medical emergency during any activity, we authorize the Youth Club staff to seek necessary medical treatment for Emily. All associated costs will be our responsibility.

Liability Waiver:

We acknowledge the inherent risks involved in outdoor and physical activities and hereby waive any liability claims against Portland Youth Club and its affiliates.

We are confident in the Youth Club’s ability to provide a safe and nurturing environment for all participants. We appreciate the efforts made by the staff to foster personal growth and community engagement among the youth.

Should you need to reach us for any reason, please contact us at 456-xxxx-7890 or via email at anna.lee@example.com.

Thank you for organizing such valuable programs for our children.

Warm regards,

Anna Lee
Brian Lee

Jessica and Michael Roberts
345 Willow Lane
Boston, MA 02118
jessica.roberts@example.com
567-xxxx-4321
April 27, 20xx

Ms. Rebecca Adams
Trip Coordinator
Boston High School
678 Cherry Street
Boston, MA 02119

Subject: Parental Consent for Field Trip to Historic Museum

Dear Ms. Adams,

We, Jessica and Michael Roberts, parents of Daniel Roberts, a junior at Boston High School, are writing to provide our consent for Daniel’s participation in the upcoming field trip to the Boston Historic Museum, scheduled for May 10, 20xx.

Trip Details:

The trip will commence at 8:00 AM from the school premises and conclude by 3:00 PM. Transportation will be provided by the school bus service, and all meals and activities are included in the trip itinerary.

Medical Information:

Daniel has no known medical conditions. However, in case of any medical emergencies during the trip, we authorize the trip chaperones to seek necessary medical attention on our behalf. All medical expenses incurred will be our responsibility.

Emergency Contact:

In the event of an emergency, please contact us immediately at 567-xxxx-4321 or jessica.roberts@example.com.

Liability Waiver:

We understand the inherent risks associated with school trips and hereby waive any liability claims against Boston High School and its staff in the event of accidents or injuries.

We trust that the teachers and chaperones will ensure the safety and well-being of all students throughout the duration of the trip.

Thank you for organizing this educational and enriching experience for the students.

Sincerely,

Jessica Roberts
Michael Roberts

Thomas and Rebecca Green
567 Pine Street
Atlanta, GA 30301
thomas.green@example.com
678-xxxx-7890
April 27, 20xx

To Whom It May Concern,

Subject: Consent for Vehicle Use by Authorized Driver

Dear Sir/Madam,

We, Thomas and Rebecca Green, are the legal owners of the vehicle Toyota Camry, with license plate ATL1234, registered in the state of Georgia. Through this letter, we hereby grant permission to Mark Thompson, holding driver’s license number D1234567, to operate our vehicle for personal and business purposes.

Details of Consent:

This consent is valid from May 1, 20xx to December 31, 20xx. During this period, Mark Thompson is authorized to use the vehicle for commuting, transporting goods, and attending meetings as required.

Insurance Information:

The vehicle is insured under Allstate Insurance, policy number GA-INS-567890. In the event of an accident or damage, Mark Thompson is authorized to make claims on our behalf.

Liability Waiver:

We acknowledge and accept full responsibility for any liabilities arising from the use of our vehicle by the authorized driver. This includes any traffic violations, accidents, or damages incurred during the consent period.

We trust that Mark Thompson will adhere to all traffic laws and maintain the vehicle in good condition. This authorization is granted voluntarily and without any coercion.

Should you require any further information or verification, please contact us at 678-xxxx-7890 or via email at thomas.green@example.com.

Thank you for your attention to this matter.

Sincerely,

Thomas Green
Rebecca Green

Laura and Steven Clark
890 Cedar Avenue
San Diego, CA 92101
laura.clark@example.com
789-xxxx-012
April 27, 20xx

Mr. James Wilson
Immigration Officer
San Diego International Airport
345 Airport Blvd
San Diego, CA 92101

Subject: Consent for International Travel with One Parent

To Whom It May Concern,

We, Laura and Steven Clark, are the lawful parents of Sophia Clark, a 14-year-old minor. This letter serves as our formal consent for Sophia to travel internationally accompanied solely by her mother, Laura Clark.

Travel Details:

Sophia will be traveling from Los Angeles, CA to Paris, France, departing on June 10, 20xx and returning on June 24, 20xx. The purpose of the trip is a family vacation.

Authorization:

Laura Clark holds a valid passport (Passport No. C1234567) and will be responsible for all aspects of Sophia’s travel, including transportation, accommodation, and welfare during the trip.

Medical Information:

Sophia has no medical conditions requiring special attention. In case of any medical emergencies during the trip, Laura Clark is authorized to seek necessary medical treatment for Sophia.

Contact Information:

For any further information or verification, please contact us at 789-xxxx-012 or via email at laura.clark@example.com.

We affirm that we have full legal custody of Sophia Clark and that this consent is provided voluntarily without any coercion.

Thank you for your cooperation and understanding.

Sincerely,

Laura Clark
Steven Clark

Karen and David Simmons
123 Maple Street
Chicago, IL 60601
karen.simmons@example.com
890-xxxx-345
April 27, 20xx

Mr. Robert King
Travel Coordinator
XYZ Travel Agency
456 Lakeview Drive
Chicago, IL 60602

Subject: Consent for International Travel of Minor Child

To Whom It May Concern,

We, Karen and David Simmons, parents of Lucas Simmons, a 12-year-old boy, hereby provide our consent for him to travel internationally with his aunt, Melissa Simmons.

Travel Details:

Lucas will be traveling from Chicago, IL to Tokyo, Japan, departing on July 10, 20xx and returning on July 24, 20xx. The purpose of the trip is a family reunion and cultural exploration.

Authorized Companion:

Melissa Simmons holds a valid passport (Passport No. J9876543) and is fully responsible for Lucas’s safety, accommodation, and well-being during the entire trip.

Medical Information:

Lucas is in good health with no known medical issues. In case of any health emergencies, Melissa Simmons is authorized to seek medical assistance for Lucas.

Emergency Contact:

For any urgent matters, please contact us at 890-xxxx-345 or via email at karen.simmons@example.com.

We confirm that we have full legal custody of Lucas Simmons and that this consent is given willingly without any external pressure.

Thank you for facilitating Lucas’s travel arrangements.

Sincerely,

Karen Simmons
David Simmons

Samuel T. Harris
789 Business Park
Dallas, TX 75201
samuel.harris@example.com
901-xxxx-234
April 27, 20xx

To Whom It May Concern,

Subject: Consent for Operating Authority in Texas LLC

Dear Sir/Madam,

I, Samuel T. Harris, the sole member and manager of Harris Consulting LLC, hereby grant Jessica Lee, holding identification number TXID789456, the authority to act on behalf of the company in all business dealings within the state of Texas.

Scope of Authority:

Jessica Lee is empowered to enter into contracts, negotiate terms, manage client relationships, and handle financial transactions necessary for the operation of Harris Consulting LLC. This includes signing agreements, managing accounts, and representing the company in all official matters.

Duration of Consent:

This authorization is effective from May 1, 20xx and remains valid until May 1, 20xx, unless revoked in writing by me prior to the expiration date.

Compliance and Reporting:

Jessica Lee is required to comply with all state regulations pertaining to LLC operations and to provide quarterly reports on business activities and financial status to me, Samuel T. Harris.

I trust Jessica Lee’s capabilities and judgment in managing the affairs of Harris Consulting LLC and believe her leadership will contribute significantly to the company’s growth and success.

For any further inquiries or verification, please contact me directly at 901-xxxx-234 or via email at samuel.harris@example.com.

Thank you for your attention to this matter.

Sincerely,

Samuel T. Harris
Owner and Manager
Harris Consulting LLC

Maria and John Hernandez
321 Oak Avenue
Phoenix, AZ 85001
maria.hernandez@example.com
234-xxxx-567
April 27, 20xx

To Whom It May Concern,

Subject: Consent for Passport Application of Minor Child

Dear Sir/Madam,

We, Maria and John Hernandez, are the legal parents and guardians of Ella Hernandez, a 10-year-old minor. This letter serves as our formal consent for Ella’s application for a U.S. passport.

Application Details:

Ella intends to travel internationally with her mother, Maria Hernandez, to visit relatives in Toronto, Canada, from June 15, 20xx to June 30, 20xx. The passport application is being processed to facilitate this trip.

Authorization:

We authorize Maria Hernandez to act on our behalf in all matters related to Ella’s passport application. This includes signing documents, providing necessary information, and communicating with the U.S. Department of State as required.

Medical Information:

Ella has no medical conditions that would impede international travel. In case of any medical emergencies during the trip, Maria Hernandez is authorized to seek necessary medical treatment for Ella.

We affirm that we have full legal authority to grant this consent and that all information provided is accurate to the best of our knowledge. This consent is given voluntarily without any coercion.

For any further information or verification, please contact us at 234-xxxx-567 or via email at maria.hernandez@example.com.

Thank you for your assistance in processing Ella’s passport application.

Sincerely,

Maria Hernandez
John Hernandez

Dr. Emily Turner
Department of Psychology
University of Texas
123 College Station
Austin, TX 78712
emily.turner@utexas.edu
345-xxxx-678
April 27, 20xx

Mr. Daniel Perez
Participant Coordinator
Youth Mental Health Initiative
456 Wellness Blvd
Austin, TX 78705

Subject: Consent for Participation in Psychological Research Study

To Whom It May Concern,

I, Dr. Emily Turner, am conducting a research study titled “Impact of Mindfulness Practices on Adolescent Stress Levels” at the University of Texas. This study aims to evaluate the effectiveness of mindfulness techniques in reducing stress among teenagers.

Consent Details:

We seek to include 20 participants aged between 14 to 18 years from the Youth Mental Health Initiative. Participation involves attending weekly mindfulness sessions and completing pre- and post-study surveys over a period of three months.

Participant Rights:

Participation is entirely voluntary, and participants can withdraw at any time without any consequences. All data collected will be kept confidential and used solely for research purposes.

Medical Information:

There are no anticipated risks associated with participation. However, if a participant experiences any discomfort, they are encouraged to inform the research team immediately.

We affirm that all ethical guidelines for research involving human subjects are being strictly followed. The study has been approved by the University of Texas Institutional Review Board (IRB).

For any questions or further information regarding the study, please contact me at 345-xxxx-678 or via email at emily.turner@utexas.edu.

Thank you for your consideration and support of this research endeavor.

Sincerely,

Dr. Emily Turner
Department of Psychology
University of Texas

Professor Alan Moore
Department of Environmental Science
Greenfield University
789 Campus Drive
Greenfield, MA 01001
alan.moore@greenfield.edu
567-xxxx-890
April 27, 20xx

Ms. Laura Kim
Project Coordinator
Eco Solutions Inc.
456 River Road
Greenfield, MA 01002

Subject: Consent for Collaboration on Environmental Research Project

To Whom It May Concern,

I, Professor Alan Moore, representing the Department of Environmental Science at Greenfield University, am writing to seek your consent for collaborating on a joint research project titled “Sustainable Urban Development and Its Environmental Impacts”.

Project Details:

The project aims to analyze the effects of sustainable urban planning initiatives on local ecosystems over the next two years. We propose a partnership between Greenfield University and Eco Solutions Inc. to combine academic research with industry expertise.

Consent for Data Sharing:

This collaboration will involve sharing of data, resources, and research findings between both parties. We ensure that all shared information will be handled with confidentiality and used solely for the purposes of this project.

Duration and Scope:

The project is scheduled to commence on June 1, 20xx and conclude on May 31, 20xx. Responsibilities will be divided as follows: Greenfield University will handle data collection and analysis, while Eco Solutions Inc. will provide field support and implementation strategies.

We believe that this collaboration will significantly contribute to advancements in sustainable urban development practices and provide valuable insights into mitigating environmental impacts.

For further discussions or to formalize this consent, please contact me at 567-xxxx-890 or via email at alan.moore@greenfield.edu.

Thank you for considering this collaborative opportunity. We look forward to a fruitful partnership.

Sincerely,

Professor Alan Moore
Department of Environmental Science
Greenfield University

Linda and Mark Williams
123 Health Street
Springfield, IL 62704
linda.williams@example.com
789-xxxx-123
April 27, 20xx

Dr. Susan Miller
Pediatrician
Springfield Children’s Hospital
456 Care Avenue
Springfield, IL 62704

Subject: Medical Consent for Emily Williams

Dear Dr. Miller,

We, Linda and Mark Williams, are the legal parents and guardians of Emily Williams, a 7-year-old child. This letter serves as our formal consent for Emily to receive medical treatment as deemed necessary by her healthcare provider.

Medical Authorization:

In the event that Emily requires medical procedures, hospitalization, or emergency care, we authorize you and your medical team to provide the necessary treatments without delay.

Scope of Consent:

This consent includes, but is not limited to, administering medications, performing diagnostic tests, and conducting surgical procedures. We trust your professional judgment in making decisions that are in the best interest of Emily’s health and well-being.

Duration of Consent:

This authorization is effective from April 27, 20xx until April 27, 20xx. Any actions taken beyond this period will require prior written consent from us.

Emergency Contact:

In case of any medical emergencies, please contact us immediately at 789-xxxx-123 or via email at mark.williams@example.com.

We affirm that Emily is in good health and that we have no objections to her receiving medical care as described.

Thank you for your attention and care.

Sincerely,

Linda Williams
Mark Williams

James and Olivia Brown
789 Literature Lane
Austin, TX 73301
james.brown@example.com
901-xxxx-456
April 27, 20xx

Ms. Emma Davis
Editor-in-Chief
Creative Minds Magazine
321 Publishing Road
Austin, TX 73301

Subject: Consent for Publication of Artwork

Dear Ms. Davis,

We, James and Olivia Brown, are the parents of Lucas Brown, a 15-year-old student at Austin High School. This letter serves as our formal consent for Lucas’s artwork to be published in Creative Minds Magazine.

Details of Consent:

Lucas has created a series of drawings that we understand will be featured in the upcoming issue of your magazine, scheduled for publication on June 15, 20xx.

Scope of Consent:

This consent includes the reproduction of Lucas’s artwork in both digital and print formats, as well as the use of his name and a brief biography accompanying the artwork.

Duration of Consent:

This authorization is valid for the specified publication date and does not extend beyond that unless renewed in writing by us.

Rights and Ownership:

Lucas retains all ownership rights to his artwork. Creative Minds Magazine is granted a non-exclusive license to publish the artwork as described.

Revocation of Consent:

We reserve the right to revoke this consent at any time before publication by notifying you in writing.

We are proud of Lucas’s achievements and are happy to support his artistic endeavors.

Thank you for featuring his work.

Sincerely,

James Brown
Olivia Brown

Kevin and Laura Martinez
456 Education Blvd
Miami, FL 33101
kevin.martinez@example.com
012-xxxx-789
April 27, 20xx

Mr. Andrew Thompson
Registrar
Miami High School
789 Academic Road
Miami, FL 33101

Subject: Consent for Release of Educational Records

Dear Mr. Thompson,

We, Kevin and Laura Martinez, parents of Daniel Martinez, a 16-year-old student at Miami High School, hereby authorize the release of Daniel’s educational records to State Scholarship Committee.

Details of Consent:

The records to be released include Daniel’s academic transcripts, standardized test scores, and teacher evaluations. This information is required for his application to the State Scholarship Program, which aims to support students pursuing higher education.

Purpose of Release:

The educational records will be used solely for the purpose of evaluating Daniel’s eligibility and qualifications for the scholarship program.

Duration of Consent:

This authorization is valid from April 27, 20xx to June 30, 20xx. Any requests for additional records outside this period will require a new consent form.

Confidentiality Assurance:

We understand that the State Scholarship Committee will handle Daniel’s records with confidentiality and will not disclose the information to third parties without our explicit consent.

Revocation of Consent:

We reserve the right to revoke this consent at any time before the records are released by notifying the school’s registrar in writing.

Thank you for facilitating this process and supporting Daniel’s educational goals.

Sincerely,

Kevin Martinez
Laura Martinez

Emma and Ryan Johnson
789 Photography Lane
Seattle, WA 98101
emma.johnson@example.com
345-xxxx-678
April 27, 20xx

Ms. Sarah Lee
Event Coordinator
Seattle Youth Art Festival
123 Creative Drive
Seattle, WA 98101

Subject: Consent for Use of Child’s Image

Dear Ms. Lee,

We, Emma and Ryan Johnson, parents of Lily Johnson, an 11-year-old participant in the Seattle Youth Art Festival, hereby grant permission for the use of Lily’s images captured during the event.

Details of Consent:

The images to be used include photographs and video recordings taken by the festival’s official photographers and videographers. These images may be featured on the festival’s website, social media platforms, promotional materials, and press releases.

Purpose of Use:

The use of Lily’s images is intended to promote the Seattle Youth Art Festival and showcase the talents of young artists participating in the event.

Duration of Consent:

This consent is valid for a period of two years from the date of the event, after which it will automatically expire unless renewed in writing by us.

Rights and Ownership:

We understand that the festival retains all rights to the images and that we are not entitled to any compensation for their use.

Revocation of Consent:

We reserve the right to revoke this consent at any time by notifying the festival’s event coordinator in writing. Upon revocation, the festival agrees to cease using any future images of Lily and remove any previously published images upon reasonable request.

We appreciate the opportunity for Lily to participate in this creative event and support the festival’s efforts to inspire young artists.

Thank you for your understanding and cooperation.

Sincerely,

Emma Johnson
Ryan Johnson