District 17 Guardian Release

District 17 Guardian Release Transfer Form

Permission for Minor to Race with non-parent guardian

(Must be Notarized)

I, ________________________________________(parents name) give my minor Child,

________________________________________(minor childs name)

permission to participate at the events held at Motosports Park - Byron, IL on

________________(Date of Event)

I have named this adult, __________________________(guardians name) 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