NAYDENOV GYMNASTICS

OPEN GYM RELEASE FORM

1^st Child’s Name:___________________________________________ Child’s Age: ________

2^nd Child’s Name:___________________________________________ Child’s Age: ________

3^rd Child’s Name:___________________________________________ Child’s Age: ________

Parent’s Name:_____________________________________

Emergency Contact:______________________________Phone:________________

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

OPEN GYM RELEASE FORM

1^st Child’s Name:___________________________________________ Child’s Age: ________

2^nd Child’s Name:___________________________________________ Child’s Age: ________

3^rd Child’s Name:___________________________________________ Child’s Age: ________

Parent’s Name:_____________________________________

Emergency Contact:______________________________Phone:________________

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__________________