ATTENTION PARENTS OF

UNDER 18 YEAR OLD RACERS OR SPECTATORS

This form (or copies of this form) must be used for EVERY MotoCity event that

your under 18 child competes in or spectates at, if you will not be able to be present.

THIS FORM MUST ALSO BE NOTARIZED TO BE A VALID DOCUMENT.

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I (we) ____________________________________ do hereby give my permission for my

                    (Legal parent or guardian)

child _____________________________________ to compete in or spectate at a

                           (Print rider's name)

motorcycle event on _________________ at __________________________ . I hereby

                                       (Date)                           (Event site)

authorize _________________________ to act in my behalf as a guardian for my child.

                (name)

Signature of Parent ___________________________________  Date ______________

NOTARY COMPLETE THE FOLLOWING SECTION::

On this ____ day of ________________, 20_____ in the county of _________________,

state of _____________________, the person adult _____________________________,

being of legal age, personally appeared before me to be the person

whose name is herein subscribed

NOTARY SIGNATURE _________________________________________

Notary Public, County of _______________________________.