Consent For Transporting a Minor Child

I (We), and

am (are) the parent(s) or legal guardian(s) of ,

a minor age , born address

city state USA.

I (We) authorize my (our) , an adult, who

resides at , city state

to transport from the UNITED STATES the above named minor, to participate in a

hockey tournament to be held in the city of , CANADA.

This consent is for the period from to .

______________________________________________
PARENT OR GUARDIAN SIGNATURE

SUBSCRIBED AND SWORN TO

before me the ____ day of _______________ , __________

______________________________________________
Notary Public