Parental Consent Form

Dear Secretary of the Meeting,

I (name)................................................as legal Parent/Guardian/Guarantor of competitor

 (name) .................................................hereby authorise (name) ........................................ to act as my representative at this event, to be signed on as the Parent/Guardian/Guarantor in accordance with the MSA regulation B9.4.2.

This authorisation is applicable to the following event:

Date................................................Venue....................................................

Organising  Club................................................

Signed -

Legal Parent/Guardian/Guarantor ..............................................................

Date.............................

Representative Parent/Guardian/Guarantor ...............................................

Date..............................

Competitor............................................................Date.......................................