Reebok | CrossFit Velocity Kids Emergency Card & Photo Release



Please print and bring along to your first session.

What information do we need to know so that we may provide the best care for your child?




Emergency Contact Information: _________________________________________



Date: Child/Minor Name (and nickname if any): ______________________________



DOB: _________________________



Parent/Guardian: Mobile Phone : ___________________________________







Home phone:___________________________________________________



Work phone with area code:_______________________________________



Spouse/Partner Contact Info

The following people have my consent to pick up my child from Reebok CrossFit Velocity Kids Classes:








Photo Release

I hereby give permission for images of my child, captured during regular and special activities, through video, camera and digital camera, to be used solely for the purposes of CrossFit, CrossFit Kids or Licensed CrossFit affiliate promotional material publications and website and waive any rights of compensation or ownership thereto. Last names of children will not be given or posted on the internet or website.



Name of Child: _________________________________________________________






Name of Parent/Guardian:________________________________________________












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