WRITTEN PERMISSION FOR AN UNRELATED APPLICABLE ADULT TO PROVIDE

LOCAL TRANSPORTATION TO 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  _______________________ , an unrelated Applicable Adult to

provide local vehicle transportation to                                                     (minor athlete)         to                                                          

 (destination) on   ___________________ (date(s))   at _________________ (approximate time), and further acknowledge that this written

permission is valid only for the transportation on the specified date and to the specified location.

Legal Guardian Signature:                                                                            

Date:      _____________________