Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name of Birthday Party *Name *FirstLastCell Phone Number *Mailing Address *Email *Child's Name *FirstLastDate of Birth *GenderMaleFemaleInsurance Carrier *Any medical conditions *Check on all Boxes *This is to certify that my child has my permission to participate in gymnastics at Armory Athletics CenterI fully understand that students are not insured against injuries of any kindI do hereby authorize Armory Athletics, its coaches, trainers, or any member of its staff to obtain emergency medical treatment from any physician, hospital, or other qualified medical personnel or facility as needed in the event of accident or injury.I agree to take full responsibility in paying for any medical care that my child may have to receive if hurt while participating in gymnasticsParent/Guardian Signature *Date *EmailSubmit
