Child's Name *

Main Contact's Email *

Main Contact's Phone Number *

Date of birth *

How would you rate your child’s current fitness level? (Beginner/Intermediate/Advanced) *

Has your child participated in any fitness or sports programs before? (Yes/No) - If yes, please specify: *

What types of physical activities does your child enjoy? (e.g., sports, dance, gymnastics, etc.) *

What are your child’s fitness goals? (e.g., improve strength, increase endurance, learn new skills, etc.) *

How do you think this program can benefit your child? *

Is there anything else we should know about your child or their needs? *

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from company. Message frequency varies. Message & data rates may apply. Text HELP to (XXX) XXX-XXXX for assistance. You can reply STOP to unsubscribe at any time.