GET MOVING. GET STRONG. HAVE FUN!

Join Our High-Energy Fitness Program Designed for Kids of All Ages!

Why Join?

✔ Build Strength & Coordination
✔ Improve Focus & Confidence
✔ Make New Friends
✔ Learn Healthy Habits
✔ Burn Energy in a FUN Way!



Activities Include

✔ Obstacle Courses
✔ Agility Drills
✔ Stretching & Mindfulness
✔ Relay Races
✔ Music & Movement Games

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Register today

Grades K-5: $110

Ask about sibling discounts!

Registration, Liability and
Consent Form

Date: August 25th – September 29th

Time: Mondays 3:00 PM – 4:00PM

Location: Stone Lakes Elementary School

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Student Information *

First

Last

Date of birth *

Age

Gender

Grade

Teacher

Parent/Guardian Name *

First

Last

Relationship to child

Primary Phone Number *

Secondary Phone Number

Parent/Guardian Email *

Address *

Emergency Contact Other than parent/guardian *

First

Last

Relationship

Phone Number *

Does your child have any medical conditions or allergies? *

If yes, please explain:

Is your child currently taking any medications? *

If yes, please explain:

Has your child had any injuries or surgeries in the past year? *

If yes, please list: (depending on the type of injury or surgery, exercise modifications will be provided to prevent future injury)

Acknowledgment of Risk - I agree and give my permission *

I, the undersigned parent/guardian, understand that participation in physical fitness activities involves inherent risks, including but not limited to falls, collisions, and other physical injuries. I voluntarily allow my child to participate in the Torch40 Kids Fitness Program.

Waiver of Liability - I agree and give my permission *

I hereby release and discharge Torch40 Kids Fitness, its staff, instructors, volunteers, and associated facilities from any and all claims, liabilities, or causes of action resulting from injury, illness, or accident incurred during participation.

Emergency Authorization - I agree and give my permission *

In case of emergency, I authorize the staff to provide or seek necessary medical treatment for my child. I understand that I will be contacted immediately in the event of an emergency.

Photo/Media Release - I give permission for my child’s photo or video to be used for promotional purposes.

Behavioral Agreement - I agree and give my permission *

I understand that appropriate behavior and respect for others is expected. Disruptive or dangerous behavior may result in removal from the program without refund.

Child pick up after Torch40 Kids: *

Child will be picked up by parent/guardian at 4pm.
Child will go to Extended Day after Torch40 kids.

If child is going to be picked up after Torch40 kids, please list who is approved for pick up in addition to parent/guardian that completed registration: *

First

Last

Phone Number

Name

First

Last

Relationship type year?

Phone Number

Name

First

Last

Phone Number

Parent/Guardian Permission & Agreement - I agree and give my permission to participate in Torch40 Kids *

GET MOVING. GET STRONG. HAVE FUN!

Why Join?

Activities Include

Register today

Registration, Liability andConsent Form

Registration, Liability and
Consent Form