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UNACCOMPANIED MINOR FORM
FILL OUT & PRINT THREE (3) COPIES. Bring all copies to the airport with you.
MINOR #1
M F
MINOR #2
M F
MINOR #3
M F
FLIGHT INFORMATION
GUARDIAN NAME AT DEPARTURE CITY
VALID PHOTO I.D. REQUIRED
JETBLUE CREWMEMBER ONLY
I.D. CHECKED
GUARDIAN NAME AT ARRIVAL CITY
VALID PHOTO I.D. REQUIRED
JETBLUE CREWMEMBER ONLY
I.D. CHECKED
LEGAL DISCLAIMER FROM GUARDIAN
I am the Guardian of the minor traveler(s) identified above (each, a “Child”), and request/agree to the provision of Unaccompanied Minor service for the Child. I certify that
the information I am providing is accurate. I confirm that I have arranged for the Child to be met upon arrival by the Guardian identified above. Should the Child not be met
as provided herein, I authorize JetBlue to take whatever actions its employees and agents consider appropriate to ensure the Child safe custody, up to and including
returning the Child to the airport of departure. I also agree to indemnify and hold harmless JetBlue from and against all claims resulting from taking such action and to
reimburse JetBlue for any reasonable costs incurred therefrom. I confirm that the Child has all necessary travel documents, as well as sufficient funds to pay any
immigration/transit fees or taxes, required by the applicable laws of each country to which the Child is traveling. JetBlue is not responsible for any missing or defective
travel documents. I acknowledge that JetBlue features inflight entertainment, to which the Child may have access, and JetBlue accepts no responsibility for the content
viewed by the Child. I further acknowledge that JetBlue crewmembers do not administer any medication. I have instructed the Child to comply with all crewmember
instructions and confirm that the Child understands.
I have read and understand the rules for Unaccompanied Minors traveling on JetBlue:
JETBLUE CREWMEMBER TO COMPLETE
Origin Airport Crewmember
SIGNATURE
NAME
ID#
Inflight Crewmember
SIGNATURE
NAME
ID#
Destination Crewmember
SIGNATURE
NAME
ID#
FLIGHT NUMBER
DEPARTURE CITY
SPECIAL SERVICE REQUEST:
ARRIVAL CITY
DEPARTURE DATE
LAST MIDDLE FIRST AGE
NAME (PRINT)
CITY
COUNTRY
STATE
HOME PHONE
GUARDIAN SIGNATURE (MUST SIGN WITH PEN)
CELL PHONE
ADDRESS
NAME (PRINT) SIGNATURE (MUST SIGN WITH PEN) DATE
NAME (PRINT)
CITY
COUNTRY
STATE
HOME PHONE
GUARDIAN SIGNATURE (MUST SIGN WITH PEN)
CELL PHONE
ADDRESS
LAST MIDDLE FIRST AGE
ALLERGIES / MEDICAL CONDITIONS LANGUAGES SPOKEN
SEAT
LAST MIDDLE FIRST AGE
ALLERGIES / MEDICAL CONDITIONS LANGUAGES SPOKEN
SEAT
ALLERGIES / MEDICAL CONDITIONS LANGUAGES SPOKEN
SEAT
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signature
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