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REGISTER FOR A GROUP PROGRAM

ExerSHINEkids Power Bootcamp
Group Registration Form

Which group program are you registering for?

POWER Bootcamp (Winter - Morning)

POWER Bootcamp (Winter - Evening)

Are you a current Kids Thrive Therapy client? Required

Yes

Review and Check All: *

I agree to the Terms of Service: I hereby give my permission for my child to participate in the ExerSHINEkids Power Bootcamp Program at Kids Thrive Therapy. I waive and release all rights for any claims against Kids Thrive Therapy for any damages and/or injuries that may occur to my child while participating in ExerSHINEkids Power Bootcamp. I also waive and release all rights for any claims against ExerSHINEkids LLC or founder, Dr. Amy Wheadon, OTD, OTR/L for any damages and/or injuries that may occur to my child while participating in the ExerSHINEkids Power Bootcamp. Please understand that Kids Thrive Therapy is committed to your child's safety and these precautions are in place to protect all staff and participants. I certify that my child is in good physical health to participate in the Kids Thrive Therapy group program and I am also aware that my participation (as a parent/caregiver) in helping my child complete at home challenges and exercises is important for skill carryover.

I agree to the Refund Policy: All ExerSHINEkids Power Bootcamp classes must be paid in full prior to the start of the program. If you cancel registration more than one week before the session starts, we will refund the full amount minus a $30 deposit. Once the session has started, refunds are not available for missed sessions.

I agree to the Make Up Policy: I understand that this is an 8-week session and the schedule accounts for any weeks that may be skipped due to holiday schedules. A free make up class will be offered during Week 9 that your child may attend.

Social Media Review (Check ONE): Required

I give permission for my child to be included in photos/videos that may be featured on the Kids Thrive Therapy website and/or social media pages. I understand that my child's name will not be linked to the post, pictures, or videos.

I do not give permission for my child to be included in photos/videos that may be featured on the Kids Thrive Therapy website and/or social media pages.

Your Signature

Thank you for submitting! Our front desk coordinator will reach out shortly to finalize your enrollment and collect payment.

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