School Paid Fitness Classes

Stretch-n-Grow of Utah Registration Form - School Paid Classes

Classes for Students of Sponsoring Schools (optional)

Fall classes at St. Paul's Preschool, Little Miners and Park City School District Child Care Center

Select Class

Please confirm the class name.

Preschool Yoga Stars-St. Paul's Preschool

Preschool Fitness Stars-St. Paul's Preschool

Preschool Fitness Stars-Park City School District Child Care Center

Toddler/2's Fitness Stars-St. Paul's Preschool

Toddler/2's Fitness Stars-Little Miners

Toddler/2's Fitness Stars-Park City School District Child Care Center

Parent 1 Name

Primary contact

Parent 1 Email Address

Primary contact email

Parent 2 Name (optional)

Secondary contact if any

Parent 2 Email (optional)

Secondary contact email if any

Child 1 Full Name

First and Last Name

Child 1 Age

years and months

Child 1 Health Concerns

No Health Concerns

Yes (please describe below)

Health Concerns Details (if any)

Child 1 health concerns details

Additional child?

If you need to add details for a 2nd child, select Yes to see more options. Select No to continue.

No additional child

Yes, I have a 2nd child to add

Child 2 Full Name, Age, and Health Concerns if any (optional)

include years and months for age

Contact Phone

Best phone number to reach you for questions or emergencies

Name of School

Pick the school paying for your child's class

St. Paul's Preschool

Park City School District Child Care Center

Little Miners

Comments or Questions (optional)

Referral Source (optional)

How did you hear about us? (Check all that apply)

Friend

Posted Hard Copy Flyer

Webpage

Returning Customer

Email Flyer

Facebook

School

Other

Photo Video Release (optional)

By checking below I am submitting this online form in place of my initials as signed, acting as a parent or legal guardian for the child(ren) named above, I give my permission for his/her photographs and/or videos to be used in promotional and/or training purposes by Wasatch Family Fitness, Inc. or Stretch-N-Grow of Utah, Inc. I waive claim to any compensation for the use of these photographs and/or videos and also release Wasatch Family Fitness and Stretch-n-Grow of Utah from any future claims or liability related to this release.

Photo Video Allowed

Submitted in place of signature

Yes

Registration Confirmation: (optional)

By adding my name and date below, I am submitting this online form in place of my physical signature. I understand that I am enrolling my child in a Stretch-n-Grow of Utah or Wasatch Family Fitness School Paid Program. I confirm that my child is registered with the school providing the class, and that I will inform both Stretch-n-Grow of Utah and the school of any changes in registration status before the class begins.

Parent Guardian Full Name

Type your full name and Date of Signature

Parent/Legal Guardian Signature signed:

By clicking you agree to use this as your signature

I agree to the terms and conditions

Validate your submission

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School sponsored and paid classes for all age groups

School Paid Registration Form

Stretch-n-Grow of Utah Registration Form - School Paid Classes

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