Kids Aerial Camp
Registration & Medical Release

List the people (up to 3) authorized to drop off or pick up your child. Anyone not listed will not be released with your child.

Please list all food, environmental, insect, or material allergies.

Please list any daily, routine, or emergency medications (e.g. EpiPen, inhaler).

Please answer Yes or No for your child for each of the following.

Please read and check both to continue.

Do you consent to Vortex Aerial Arts photographing/filming your child for promotional and social media use?

In signing this form, I, the parent/guardian of the aforementioned child, affirm that I have read this form in its entirety and have answered the questions accurately and to the best of my knowledge. I understand that all accidents will be documented and that I will be informed. I understand that if the Instructor requires further information about my child's illness or disability in order to include them in activities, I will endeavor to make sure this information is available to them. I understand that if my child fails to behave in a manner that is polite and social, they may be excluded from that particular activity at the discretion of the Instructor, and will have the opportunity to rejoin the session shortly after.