Upload
dinhnhi
View
213
Download
0
Embed Size (px)
Citation preview
We recommend that you keep a copy of the signed form for your reference.
Athlete’s name: ____________________________________________________________________
Please state destination of trip:
Date: _________________________________________
I, ____________________________________________________ ,do hereby give my daughter/ward,
____________________________________________________________________________________
Permission to ride in the car of ___________________________________________________________
From __________________________________ to ___________________________________________.
Prior to this trip, I may be reached at the following telephone number _____________________________________________________________.
I understand that Pacific Coast Volleyball Academy assumes no responsibility for my daughter/ward during this period of absence from home, and
I hereby expressly release Pacific Coast Volleyball Academy from any and all such responsibility.
Parent’s/Guardian’s signature:
______________________________________________________________Date:___________________