Consulate General of Brazil
1185 Avenue of the Americas
New York, NY 10036

<Enter Date>

To Whom It May Concern,

I am giving my <son / daughter> <state the child's name> permission to apply for a tourist visa to Brazil. My <son / daughter> will be traveling to <state the city name>, Brazil on <state the date of travel>. They will be staying at <state where your child will be staying> and will be traveling with <specify who your child will be travleing with>. They will be going to Brazil to <state the purpuse of trip, examples: to visit friends, to visit family, to go on vacation . . .>.

Thank you,

Sign in front of a notory