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 ______________________________, 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:______________________________