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:__________________________________________________
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
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__________________