I, ________________________________, as parent/legal guardian of __________________________, hereby appoint ____________________________to be the authorized person who will accompany my son/daughter to Cato MX on _________________________ and hereby grant said individual the authority to sign all waivers necessary for my son/daughter to participate in practice and/or racing on Saturday and/or Sunday. Said individual will remain on the premises during the entire time by child is there.
Date _________________ Signed_____________________________
Sworn to before me this ___ day of ______________,20___.
____________________________
Notary Public
My commission expires _________