I authorize Nunan's Martial Arts to allow my child to leave the facility only with the following persons.
List all known allergise, existing illnesses, pregvious serious injuries, injuries during the previous 12 months, any medication prescribed for a long term continuous use and any other medical information. If non, list N/A.
Emergency Contact (other than parents)
In the event that I cannot be reached to make arrangements for emergency medical attention, I authorize the facility director or person in charge to take my child to the following, if possible, or a physician of their choice.