This document serves as a parental consent form authorizing a child to travel with specified travel companions on certain dates to a designated destination. It clarifies that the travel companions are responsible for the child's safety and well-being during the trip, including transportation and any activities. The document permits medical treatment if necessary during the trip and includes an emergency contact list for the child. It also underscores the release of liability from any claims related to the child's participation in the trip, except for those arising from gross negligence or willful misconduct.