FENIX SWIM CLUB

I,________________________________, legal guardian of ________________________________,  a minor athlete, give express written permission, and grant an exception to the Minor Athlete Abuse Prevention Policy for ________________________________(massage therapist or other certified professional) to provide a massage, rubdown and/or athletic training modality on ________________________________(minor athlete) on _________________(date) at ________________________________(location). The massage, rubdown or athletic training modality must be done with at least one other adult present in the room and must never be done with only ________________________________(minor athlete) and ________________________________(massage therapist or other certified professional) in the room. I acknowledge that I have the right to observe the massage, rubdown or athletic training modality. I further acknowledge that this written permission is valid only for the dates and location specified herein. 

Legal Guardian Signature:________________________________                                                                             

Date:________________________________