12440 128th Lane NE, Kirkland, WA
98034
(425) 823-2665
Special Events at Northwest Aerials PARENT'S NIGHT OFF (See below)
NORTHWEST AERIALS PRESENTS...
AGES 3 AND UP
GYMNASTICS!TRAMPOLINE!
Saturday September 20th-Kirkland 6:00-10:00PM
FEE:
$25/PERSON PARENT’S NIGHT OFF REGISTRATION NAME: _______________________ AGE: _________ PHONE #: _____________ EMERGENCY #: _________ TOTAL AMOUNT ENCLOSED: $__________ SORRY NO REFUNDS, CREDITS OR TRANSFERS ON FEES
PLEASE RETURN THIS FORM AND FEES TO THE NWA OFFICE. ANY QUESTIONS??CALL (425)823-2665. * NON-MEMBERS MUST HAVE A REGISTRATION CARD ON FILE _________________________________________________________________ NORTHWEST AERIALS PRESENTS… 12440 128TH LANE NE, KIRKALND*98034*(425)823-2665 aerials99@aol.com*www.nwaerials.com BACKHANDSPRING CLINIC Sunday October 26th: 11:30-1:00pm $15 /person (if paid 2 days prior to the event) AGES 4 & UP SPACE IS LIMITED, PRE-REGISTRATION IS REQUIRED. BACKHANDSPRING CLINIC REGISTRATION NAME: _________________________AGE: _________ PHONE #:_____________EMERGENCY #: ______________
EMAIL:
________ SORRY NO REFUNDS, CREDITS OR TRANSFERS ON FEES
PLEASE RETURN THIS FORM AND FEES TO THE NWA OFFICE. SPACE IS LIMITED!
MEDICAL AUTHORIZATION AND RELEASE I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN ME AND NORTHWEST AERIALS, INC., AND I HAVE SIGNED THIS OF MY OWN FREE WILL. I, as parent or guardian of _____________________________give my permission for him/her to participate in the backhandspring clinic and in consideration of his/her participation, agree individually and on behalf of him/her to the terms of the above agreement and release of liability. Northwest Aerials, Inc. has my permission to secure emergency medical attention if I cannot be reached immediately. Parent/Guardian or Student (if over 18) Signature: ______________________________ Date: ___________ _________________________________________________________________________________________________ I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN ME AND NORTHWEST AERIALS, INC., AND I HAVE SIGNED THIS OF MY OWN FREE WILL. I, as parent or guardian of _____________________________give my permission for him/her to participate in the trampoline clinic and in consideration of his/her participation, agree individually and on behalf of him/her to the terms of the above agreement and release of liability. Northwest Aerials, Inc. has my permission to secure emergency medical attention if I cannot be reached immediately. Parent/Guardian or Student (if over 18) Signature: ______________________________ Date: ___________ ____________________________________________________________
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