NAYDENOV GYMNASTICS
Child’s
Name: (Last)_____________(First)______________ M F
Child’s
Birthday: (month)______(day)_____(year)_______
Parent’s
Name: _________________________________ Phone: (_____) ______-________
Address:____________________________________________________________
City:
____________________ State: ______ Zip:______________
RISK: I
understand that there is risk of serious
injury and that Naydenov Gymnastics (NG) will take Precautions to prevent
accidents but does not provide medical
coverage for participants.
RELEASE: I hereby consent to have my child/ward participate in programs offered by Naydenov Gymnastics. Simple first aid will be administered to all minor injuries. Parent or doctor will be contacted if necessary. I hereby agree that my child, adopted or otherwise, my heir or executors, waive and release all rights and claims that I may have at any time against NG. I understand the risks involved in respect to such programs.
PERMISSION FOR MEDICAL TREATMENT: I confirm that the above named participant(s) is in good health. I hereby authorize NG to administer simple first aid. I also authorize a medical exam, x-rays, or a medical/surgical diagnosis as deemed necessary by the participant’s physician or hospital.
Signature__________________________________________Date__________________
NAYDENOV GYMNASTICS
Child’s
Name: (Last)_____________(First)______________ M F
Child’s
Birthday: (month)______(day)_____(year)_______
Parent’s
Name: _________________________________ Phone: (_____) ______-________
Address:____________________________________________________________
City:
____________________ State: ______ Zip:______________
RISK: I
understand that there is risk of serious
injury and that Naydenov Gymnastics (NG) will take Precautions to prevent
accidents but does not provide medical
coverage for participants.
RELEASE: I hereby consent to have my child/ward participate in programs offered by Naydenov Gymnastics. Simple first aid will be administered to all minor injuries. Parent or doctor will be contacted if necessary. I hereby agree that my child, adopted or otherwise, my heir or executors, waive and release all rights and claims that I may have at any time against NG. I understand the risks involved in respect to such programs.
PERMISSION FOR MEDICAL TREATMENT: I confirm that the above named participant(s) is in good health. I hereby authorize NG to administer simple first aid. I also authorize a medical exam, x-rays, or a medical/surgical diagnosis as deemed necessary by the participant’s physician or hospital.
Signature__________________________________________Date__________________