Location: Naydenov Gymnastics near the Penney’s end of the Vancouver Mall “Westfield Mall”. 5313 NE 94th Ave, just turn left on 94th Ave at the first light when exiting the East end of the Mall.

NAYDENOV GYMNASTICS BDAY PARTY RELEASE FORM

Child’s Name: (Last)_____________(First)______________ M    F

Child’s Birthday: (month)______(day)_____(year)_______

Parent’s Name: (Last)__________________(First)_____________________

Phone:  (_____)   ______-________

Address:________________________________________________________

City: ______________________             State: ______  Zip:______________

Email:__________________________________________________

RELEASE:  I hereby consent to have my child/ward participate in programs offered by Naydenov Gymnastics (NG) Precautions will be taken to prevent accidents.  Simple first aid will be administered to all minor injuries.  Parent or doctor will be contacted if necessary.  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_________________

Location: Naydenov Gymnastics near the Penney’s end of the Vancouver Mall “Westfield Mall”. 5313 NE 94th Ave, just turn left on 94th Ave at the first light when exiting the East end of the Mall.

NAYDENOV GYMNASTICS BDAY PARTY RELEASE FORM

Child’s Name: (Last)_____________(First)______________ M    F

Child’s Birthday: (month)______(day)_____(year)_______

Parent’s Name: (Last)__________________(First)_____________________

Phone:  (_____)   ______-________

Address:________________________________________________________

City: ______________________             State: ______  Zip:______________

Email:__________________________________________________

RELEASE:  I hereby consent to have my child/ward participate in programs offered by Naydenov Gymnastics (NG) Precautions will be taken to prevent accidents.  Simple first aid will be administered to all minor injuries.  Parent or doctor will be contacted if necessary.  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_________________