Parental Permission Letter

I __________________________________, give permission for my minor child, ____________________________________, to participate in the Motosports

events being held at (Track Name) _______________________________________ on (Event Date)____________________________________________.

I understand the risk involved with these events and understand no medical coverage is provided in the event of injury.

I give permission for (name of adult accompanying minor) _________________________________________ to sign any forms in my absence and to make any necessary medical decisions on my behalf.

Notary Public

State of Indiana

County of________________________________________

Signed and sworn to (or affirmed) before me on this _____ day of _________________, 20___, by ______________________________________

(Name of Individual making statement) __________________________________________________

Seal Signature of Notary Public: ____________________________________________________________

My Commission Expires:______________________________________

Reads Racing Unlimited, Inc. 13253 East State Road 114 Akron, Indiana 46910 (574) 893-1649