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MILAN, MI 48160





My minor child, ________________________________________, has my permission to


participate in motocross racing or motocross practice events at Twisted MX, located


at 11400 Townsend Road, Milan, MI 48160, on  _______/_______/_______.  In addition, I


give permission to ________________________________________ (an adult), to sign all liability


release and registration forms required by Twisted MX, and to give consent for


medical treatment for (rider)_______________________________________ if needed.




Signature of Parent or Legal Guardian




Signature of Notary Republic (seal required)