Minor Athlete Travel Permission

Minor Athlete Travel Permission
The undersigned is the parent or legal guardian of the minor Participant identified below, who is a member of USA Hockey under the age of 18. This consent is provided pursuant to USA Hockey’s SafeSport Program, and I acknowledge that USA Hockey’s SafeSport Program (see www.usahockey.com/safesportprogram) contains policies that are intended to protect participants from abuse and risks of harm. Travel for hockey (whether locally to or from practices/games, or overnight for games or events), is a time with an increased risk for actual or perceived misconduct. It is recommended that the parent or guardian take the SafeSport Training offered by the US Center for SafeSport.
I,   First Name   Last Name, an the parent or legal guardian of   First Name   Last Name, and have had the opportunity to review and become familiar with the USA Hockey SafeSport Program policies, which can be found at www.usahockey.com/safepsortprogram, and give my express written permission for   First Name   Last Name   an unrelated Applicable Adult,
To provide local transportation alone with my minor child from   Date   to   Date .
To travel with my minor child travel to the following event    , taking place in     over the following dates:
To share a hotel room or other sleeping arrangement with my child during the following event      taking place the following dates

I acknowledge that this written permission is valid only for the transportation or travel on the specified date(s) and to the specified location. If I am signing and submitting this consent electronically, I acknowledge that my electronic signature shall have the same validity, force and effect as if I signed this consent in person.
First Name   Last Name
Email   Date   Street Address   Address Line 2   City   State   Zip   Area Code   Phone Number
Signature
Should be Empty: