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_________________
