PERMISSION FORM

As the parent or legal guardian of ___________________________, I give my permission for him/her to participate in a gymnastics class / field trip at BROWN’S GYMNASTICS. I understand that participation in gymnastics activities involves motion, rotation, and height in a unique environment and as such carries with it a risk of injury. I understand that I am responsible for all medical expenses for my child which may occur during their participation. There is no further obligation by signing this one time release.

PARENT / GUARDIAN NAME ____________________ PHONE# ________________

CHILD’S DATE OF BIRTH ____________ AGE _____ CLASS NAME ____________

ADDRESS ______________________________________________________________

CITY __________________ ZIP ________________

HOW DID YOU HEAR ABOUT US _________________________________________

SIGNATURE _________________________ DATE ____________________________

Brown’s Gymnastics

4544-C West Russell Rd.

Las Vegas, NV. 89118

702-257-9009