Parental Consent Form

I, ______________________________, parent of _________________________ give permission for __________________________________ to sign any paperwork for __________________ to race or practice the following dates __________________ at the following track_____________.

I,_________________________, also give permission for _______________________ to make any medical decisions for _________________________________ during those dates.

Signed:____________________________________

Printed name:_______________________________

EMERGENCY CONTACT PHONE NUMBERS:

______________________________________________

THIS FORM MUST BE NOTARIZED