NAYDENOV
GYMNASTICS
Child’s Name:_________________________________________________________
Child’s Age: ________ Parent’s Name:_____________________________________
Emergency Contact:______________________________Phone:________________
Child’s Name:_________________________________________________________
Child’s Age:_________Parent’s
Name:_____________________________________
Emergency Contact:________________________ Phone:______________________
PARENTS: If you pick your child up after 11:05 pm you will be charged $1.00 per minute that you are late, per child!!
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:_________________________________________________________
Child’s Age: ________ Parent’s Name:_____________________________________
Emergency Contact:______________________________Phone:________________
Child’s Name:_________________________________________________________
Child’s Age:_________Parent’s
Name:_____________________________________
Emergency Contact:________________________ Phone:______________________
PARENTS: If you pick your child up after 11:05 pm you will be charged $1.00 per minute that you are late, per child!!
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__________________