Fun With Fitness
Participant Information
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First Name
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Last Name
Sex
Boy
Girl
Birth Date
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Grade
Pre-school
Kindergarten
1st
2nd
3rd
4th
5th
6th
School Attended
Montessori
Preschool
Which Sports are your Favorites?
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Fun With Fitness Program
After-School x8/month
After-School x4/month
After-School x2/month
Summer Program
Kid's Training 1-on-1
Fitness Goals
Improve Sport Skills
Better Coordination
More Focus
Be an ALL-STAR on the Playground
Boost Stamina
Baby Fat Loss
Improve Flexibility
Make Friends
Adult Contact Info
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Relationship to Participants:
Mother
Father
Other
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First Name
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Last Name
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Home Phone
Cell Phone
*
Email Address
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Liability : Your child will remain under the care, direction and supervision of the school while receiving instruction from FUN WITH FITNESS / OC PRIVATE TRAINING. I hereby release and discharge FUN WITH FITNESS / OC PRIVATE TRAINING, the Childcare Facility and its members from all actions, claims, demands, injury or damage resulting from my child’s participation in this activity.
Agree
Disagree
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I give FUN WITH FITNESS permission to publish pictures and/or videos of my child participating in the group or individual programs.
Agree
Disagree
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