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Exershine Registration

Sign Me Up!

Child's Birthday
Supports Needed
Physical Abilities
Following DIrections

I hereby give my permission for my child to participate in a EXERSHINEkids Bootcamp Program run by KIDS IN MOTION staff. I waive and release all rights for any claims against KIDS IN MOTION, including any damages and/orinjuries that may occur to my child while participating in a EXERSHINEkids Bootcamp class.

I certify that my child is in good physical health to participate in a EXERSHINEkids Bootcamp, and I will remain on the premises(or designate another adult to assume responsibility for my child) during the class to support my child as needed. 

Please understand that KIDS IN MOTION and EXERSHINEkids is committed to your child’s safety and these precautions are in place to protect all staff, participants and family members.  

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