WRITTEN PERMISSION FOR AN UNRELATED APPLICABLE ADULT TO TRAVEL TO COMPETITION 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 travel with   

                                                          (Applicable Adult), to travel from                                             (point of origin) to

________________________________  (destination) to attend the                                                                 (name of competition)

from ___________ to _____________ (dates of travel to competition).

I acknowledge that                                                       (minor athlete) cannot share a hotel room, sleeping arrangement or other overnight

lodging location with___________________________ (Applicable Adult) at any time. I further acknowledge that this written permission is valid

only for the dates and location specified herein.

Legal Guardian Signature:                                                                            

Date: