Consent and Authorization for Minor Athlete Transportation with Unrelated Applicable Adult
I, the undersigned, certify that I am the parent or legal guardian of the below named Minor Athlete. I understand that my written consent and authorization is required in order for Minor Athlete to ride in a vehicle alone with an unrelated Applicable Adult. In connection with and in consideration of Minor Athlete riding in a vehicle alone with an unrelated Applicable Adult I, as Minor Athlete’s parent or legal guardian, hereby represent and agree as follows:
1) I agree to allow the Minor Athlete to ride in a vehicle alone with the unrelated Applicable Adult listed below.
2) I agree that I have had the opportunity to review USA Cycling’s SafeSport Program and Minor Athlete Protection Policies, available at https://www.usacycling.org/resources/safesport/usacpolicies;
3) I authorize and consent to the release and disclosure of this consent form, Minor Athlete’s name, and other relevant information necessary to demonstrate my consent to Minor Athlete’s participation.
I certify that I am 18 years of age or older and the parent or legal guardian of the Minor Athlete. In addition, I certify that I have read, fully understand, and agree to the terms of this Authorization, and I sign it voluntarily with the full knowledge of its significance.