Contact Number: (203)450-6755
E-mail: Neville@Fitkids-program.com
REGISTRATION FORM
Return form with payment to:
Fit Kids Program: 963 Wells Place Stratford Ct, 06615
Name____________________________________________________
Address___________________________________________________
City_______________________________State___________________
Home Phone______________________Cell______________________
Emer Phone______________________ E-mail____________________
Age______ T-shirt size____________
CHECK SESSION(S) OF INTEREST:
AUGUST 8-12 ( ) AUGUST 15-19 ( )
WAIVER: I hereby authorize the staff of Fit Kids to act for me
according to their best judgment in any emergency requiring medical
attention for my child, if I cannot be contacted.
In consideration of acceptance of my child. I hereby for myself, my @
child, their heirs, executors and administrators hold harmless, waive
and release any claim we may have for damages against the above
mentioned organizations, camp operators, their officials, officers, Greenwich Country Day School
employers or representatives, or their successors and assigns for any
or all injuries that may be suffered. I certify that I am 401 Old Church Road
parent/guardian of: ____________________________________And
I am over the age of 18 years. I further agree that the above named Greenwich, Ct 06836
parties are under the obligation to provide a physical examination or
other evidence of a Childs fitness to participate in this program, the
same being my sole responsibility.
(203)450-6755
SIGNATURE OF PARENT/GUARDIAN ________________________
*Partial scholarships available, please contact us
FOR BOYS & GIRLS
DATE_________
directly.
I attest that my child is in sound condition to participate in all 8 YRS TO 14 YRS
activities. I understand by signing this waiver any or all
refunds will come in the form of program credit. 1 week sessions from
www.fitkids-program.com Aug 8, 2011 to Aug 19, 2011
When: One week Sessions from
August 8, 2011 to August 19, 2011
All sessions will be:
Days Hours
The “Fit Kids Program” is a summer fitness Monday- Friday 10 AM-2 PM
fundamentals program designed to challenge kids
ages 8 to 14 to learn the basics of conditioning,
1 Session 2 Sessions
strength, safety skills, good nutritional habits and $295.00 $590.00
self confidence. Our goal is to teach kids, through
positive reinforcement, the fun of a fitness Facilities include:
lifestyle that will carry them through and beyond
their high school careers. For us to preserve the · 2 pools (with certified life guards on duty)
uniqueness of our program and the safety of your A $25.00 Registration Fee must be added.
child (ren), we will provide (8) to (1) ratios.
· 3+ fields 10% discount for each additional family member
Who we are;
· Baseball diamond
Neville Warburton,BS,CPT
Bobby Argiro-Bevilacqua,BS,CPT
Program fee includes:
Chris Gradilone,BS,CPT
· Basketball courts in/outdoor
· "Fit Kids" T shirt
· Fitness center - weight room/ cardio room
· Gatorade and water throughout the day
Attendees must bring:
· Fresh fruit snacks
This program will be run by highly qualified · Lunch
professional personal trainers with 20 years of
combined experience along with a closely
· Swimsuit
supervised staff. The extent of our combined
knowledge and experience is invaluable. We will
be sure that your child walks away from this · Towel
program feeling accomplished and driven, with
the courage to succeed in their sport of choice, or
motivated to continue with a positive, healthy
· Sunscreen
lifestyle.
· Must wear sneakers (no flip flops)