NAYDENOV GYMNASTICS
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 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
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 (NGI 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 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__________________