Birthday Party Release Form
I hereby grant permission for the persons enrolled to participate in
the programs held at Capital Gymnastics National Training
Center. I realize that gymnastics involves the risk of injury,
possible paralysis, and even death...I release Capital
Gymnastics National Training Center and it's employees from
any and all liability, which might be incurred during the
conduct of this activity. I further agree to indemnify and hold
the Corporation harmless for any claims or lawsuits brought
by or on behalf of my child.
In an emergency, I hereby grant permission to the employees, to have the
authority, at my expense, in the event I cannot readily be reached, to utilize
the most convenient volunteer rescue squad vehicle or ambulance to
transport my son or daughter to the hospital and if necessary, I authorize
medical treatment. I hereby verify that the participant has passed a medical
examination within the last twelve (12) months and is capable of
participating in the sport of gymnastics.
Child's Name:____________________
Parent's Name:___________________
Signed:_________________________
Phone:__________________________
E-mail:__________________________
Date of Party_______________
Capital Gymnastics National Training Center
10400 Premier Court Burke,Virginia 22015
703-239-0044 or 703-239-0046