Free Youth Swimming Clinic

Register for Fitness Fun Club

NOW has partnered with the Putnam Public Library to host a Fitness Fun Club every first Monday in Summer! All children are invited to join us Mondays from 10:00 - 11:00 a.m. June 3, 10, 17, 24
This program was designed to help children form a healthy bond with one another, fitness, and nutrition. We will play fun movement games, fitness activities, and learn about the 5 food groups!
Child Name*

First NameLast Name
Child Age*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Any medical conditions or allergies?
Additional Comments:
By submitting this form, I agree to the following:

I hereby release Northeast Opportunities for Wellness, Inc. (NOW) from any and all claims of liability, personal injury or property damage arising from participation in this program. I understand that participation. I certify that my child is in good health and able to participate in all activities. If any attention is required for illness or injury, I give my permission to NOW staff member(s) for such care. I give consent for my child to be photographed during the program and release use of the images by NOW for promotional purposes.
Full Name

First NameLast Name

Register for Fitness Fun Club