District 17 Guardian Release Transfer Form

Permission for Minor to Race with non-parent guardian

(Must be Notarized)  

I, ____________________________ give my minor Child, ___________________________ permission to participate at the races held at the  

_____________________________________ on _____________      (Date of Event) 

I have named this adult, __________________________ to act as guardian of the day for this event.

Date _________________ 

Father's Signature __________________________________

 Mother's Signature _________________________________

 Signed before me on this ___________ day of _____________  20_____

 Notary Signature _____________________________________________

 My Commission expires ______________________________________

                                                  Notary seal