NAYDENOV
GYMNASTICS
1st Child’s Name:___________________________________________ Child’s Age: ________
2nd Child’s Name:__________________________________________ Child’s Age: ________
Parent’s Name:_____________________________________
Emergency Contact:______________________________Phone:________________
PARENTS: If you pick your child up after 11:05 pm you will be charged $1.00 per minute that you are late, per child!!
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
1st Child’s Name:___________________________________________ Child’s Age: ________
2nd Child’s Name:__________________________________________ Child’s Age: ________
Parent’s Name:_____________________________________
Emergency Contact:______________________________Phone:________________
PARENTS: If you pick your child up after 11:05 pm you will be charged $1.00 per minute that you are late, per child!!
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__________________