Indiana Swimming

 

 

PERMISSION FOR AN UNLEATED APPLICABLE ADULT TO TRAVEL TO COMPETITION ALONE WITH MINOR ATHLETE

 

 

I, ______________________________, legal guardian of _________________________________, a minor athlete, give written permission and grant an exception to the Minor Athlete Abuse Prevention Policy for ______________________________________ (minor athlete), to travel with ________________________________________(applicable adult), to travel from ______________________________ to _____________________________ to attend the _______________________________________________(name of competition) from ____________________ to ____________________________ (dates of travel to and from competition). 

 

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

 

Legal Guardian signature:______________________________________

Date:___________________________________

 

Adopted October 6, 2020