NAYDENOV GYMNASTICS

OVERNIGHTER 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:__________________________________________________

RISK: I understand that there is risk of serious injury and that Naydenov Gymnastics (NG) will take Precautions to prevent accidents.

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

OVERNIGHTER 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:__________________________________________________

 

RISK: I understand that there is risk of serious injury and that Naydenov Gymnastics (NG) will take Precautions to prevent accidents.

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__________________