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ALTERNATE TRAVEL FORM

-AWAY RACES-

Under special circumstances, an athlete may be granted permission, by their Head Coach, to pursue alternate travel plans.

NOTE: Not all requests are automatically approved. The NAC Staff fosters team building and considers traveling as a team an important component of this team building process.

  • All alternate travel itinerary and trip details must be submitted to the Head Coach two weeks prior to departure date for final approval.
  • If approved, plans must involve travel with the athlete’s parents ONLY.  If parent is unavailable to travel, an alternate adult must be approved by the parent and the Head Coach.
  • Any additional travel arrangements or costs (i.e. shuttles, taxis, airfare) that are required as a result of the athlete’s alternate travel plans are the sole responsibility of the parent.
  • The NAC staff will not be involved or responsible for any alternate travel arrangements.
  • The athlete will not be considered under the supervision of the NAC staff upon removal from the event or upon delivery to the event, and the appropriate staff member has been notified and acknowledged.
  • Should a request for alternate travel be denied by the Head Coach, the athlete and parent may appeal to the Executive Director to render a final decision on the matter.

I understand and acknowledge that my junior athlete participating in the event shall be deemed to have waived all claims against the NAC, it’s officers and employees or parent volunteers for any injury, accident illness or death occurring during or by reason of the trip.

I Agree

Disregard the "Adult" button. Please select "Minor(s)." If you have more than one athlete, please complete separate forms.
AdultMinor(s)
1 Minor2 Minors3 Minors4 Minors5 MinorsMore Minors6 Minors7 Minors8 Minors9 Minors10 Minors
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First Athlete's Name

First Name*

Last Name*
First Athlete's Date of Birth*
I certify that I am 19 years of age or older
First Athlete's Travel Information
Athlete's Team*

Name of Individual Transporting Athlete *

Relationship to Athlete (i.e. parent, teammate, etc) *

Trip Itinerary *
First Athlete's Signature*
Second Athlete's Name

First Name*

Last Name*
Second Athlete's Date of Birth*
Second Athlete's Travel Information
Athlete's Team*

Name of Individual Transporting Athlete *

Relationship to Athlete (i.e. parent, teammate, etc) *

Trip Itinerary *
Third Athlete's Name

First Name*

Last Name*
Third Athlete's Date of Birth*
Third Athlete's Travel Information
Athlete's Team*

Name of Individual Transporting Athlete *

Relationship to Athlete (i.e. parent, teammate, etc) *

Trip Itinerary *
Fourth Athlete's Name

First Name*

Last Name*
Fourth Athlete's Date of Birth*
Fourth Athlete's Travel Information
Athlete's Team*

Name of Individual Transporting Athlete *

Relationship to Athlete (i.e. parent, teammate, etc) *

Trip Itinerary *
Fifth Athlete's Name

First Name*

Last Name*
Fifth Athlete's Date of Birth*
Fifth Athlete's Travel Information
Athlete's Team*

Name of Individual Transporting Athlete *

Relationship to Athlete (i.e. parent, teammate, etc) *

Trip Itinerary *
Sixth Athlete's Name

First Name*

Last Name*
Sixth Athlete's Date of Birth*
Sixth Athlete's Travel Information
Athlete's Team*

Name of Individual Transporting Athlete *

Relationship to Athlete (i.e. parent, teammate, etc) *

Trip Itinerary *
Seventh Athlete's Name

First Name*

Last Name*
Seventh Athlete's Date of Birth*
Seventh Athlete's Travel Information
Athlete's Team*

Name of Individual Transporting Athlete *

Relationship to Athlete (i.e. parent, teammate, etc) *

Trip Itinerary *
Eighth Athlete's Name

First Name*

Last Name*
Eighth Athlete's Date of Birth*
Eighth Athlete's Travel Information
Athlete's Team*

Name of Individual Transporting Athlete *

Relationship to Athlete (i.e. parent, teammate, etc) *

Trip Itinerary *
Ninth Athlete's Name

First Name*

Last Name*
Ninth Athlete's Date of Birth*
Ninth Athlete's Travel Information
Athlete's Team*

Name of Individual Transporting Athlete *

Relationship to Athlete (i.e. parent, teammate, etc) *

Trip Itinerary *
Tenth Athlete's Name

First Name*

Last Name*
Tenth Athlete's Date of Birth*
Tenth Athlete's Travel Information
Athlete's Team*

Name of Individual Transporting Athlete *

Relationship to Athlete (i.e. parent, teammate, etc) *

Trip Itinerary *
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
I certify that I am 19 years of age or older
Parent or Guardian's Travel Information
Athlete's Team*

Name of Individual Transporting Athlete *

Relationship to Athlete (i.e. parent, teammate, etc) *

Trip Itinerary *
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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