Infant Toddler Ninja Warrior Registration Form

Every Tuesday in January (0-3 year old group)

______________

Infant Toddler Ninja Warrior is a set of free programs that are offered in our community

 *Sessions take place from 9-9:45am at Growing In Motion: 2104 Aspen Dr. Mechanicsburg

 

January Session Dates:

Tuesday, January 2nd

Tuesday, January 9th

Tuesday, January 16th

Tuesday, January 23rd

Tuesday, January 30th

Registration is open to the first 10 children that sign up

Sign up will include every session date above

Your child is not able to attend back to back months to give everyone an opportunity to attend

*Please note that sign up is REQUIRED to attend. We are unable to accept walk-ins.

The 0-3 year old group is for children that are currently receiving early intervention therapy. 

Infant Ninja Warrior January 24 Registration (0-3 Year Old Group)
Parent/Guardian Name
Parent/Guardian Name
First
Last
Child's Name
Child's Name
First
Last
I understand that the open gym is not always fully supervised by a therapist. I accept any and all injuries that may occur during this time to myself or my child. I understand that it is my responsibility to watch my child and maintain safety at all times
I am voluntarily participating in this open gym and in agreement that Growing in Motion is not responsible for any injuries that may occur during the open gym
I understand that attending the open gym may result in some loss in confidentiality. The open gym is only for Early Intervention families and my attendance will imply my child receives these services. I understand this and willingly accept this.