PERMISSION FOR AN UNRELATED ADULT ATHLETE TO SHARE THE SAME HOTEL,

SLEEPING ARRANGEMENT OR OVERNIGHT LODGING LOCATION WITH MINOR

ATHLETE

I,                                    , legal guardian of                                              , a minor athlete, give express written permission and grant an

exception to the Minor Athlete Abuse Prevention Policy for                                 (minor athlete), to stay in the same hotel room of or share a

sleeping arrangement or other overnight lodging location with                             (unrelated adult athlete) at                                      (location of

hotel room or other overnight lodging location) from                   to                          (dates of applicable rooming arrangement).

I further acknowledge that this written permission is valid only for the dates and location specified herein.

Legal Guardian Signature:

Date:

Havasu Stingrays Swim Team