Indiana Swimming

PERMISSION FOR AN UNRELATED APPLICABLE ADULT TO PROVIDE LOCAL TRANSPORTATION TO MINOR ATHLETE

 

I, ____________________________________________, legal guardian of ______________________________, a minor athlete, give 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 transportation on the specified date(s) and to the specified location. 

 

Legal Guardian signature:___________________________________________________

Date:_____________________________

 

Adopted October 6, 2020