I (parent/guardian)________________________authorize National Passport.
to process the passport application 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 (Parent/Guardian):_____________________________
Child's Date of Birth:______/______/______
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Date of Departure: ______/______/______
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American Passport 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.