I (Either Parent/Guardian)___________________________________authorize any representative of The Visa Center to process the application for
US Passport of_________________________________ , to pickup their completed passport and to discuss all matters with the Department of State pertaining to the processing of my passport application and issuance of my passport.
Signed (Either Parent/Guardian):_____________________________
Child's Date of Birth:______/______/______
.
.
.
.
.
.
.
.
.
.
American Passport Express LLC. acts only as an agent on behalf of the applicant. Please Refer to our "Legal Terms" which appear on our website www.americanpassport.com and which are incorporated by reference. .