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 ____________________________ (minor athlete), to travel with ____________________________ (Applicable Adult), to travel from ____________________________(point of origin) to____________________________(destination) to attend the ____________________________(name of competition) from_____________ to_____________ (dates of travel to competition). 

I acknowledge that____________________________ (minor athlete) cannot share a hotel room, sleeping arrangement or other overnight lodging location with ____________________________(Applicable Adult) at any time. I further acknowledge that this written permission is valid only for the dates and location specified herein. 

Legal Guardian Signature:____________________________                                                                             

Date:____________________________