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_________________
