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  • Marin Superstars Fall I 2025

    Marin Superstars Fall I 2025

    An inclusive sports team experience for your spirited, sensory, or spicy child!
  • Fall I session runs from August 27th - October 1st

    6-weeks of Wednesday sessions from 3:30pm-5pm at Hal Brown Park* (Greenbrae) $1000 (includes a team jersey!) with $100 non-refundable deposit. Group size between 4 to 8 children for children ages 5-8. *location subject to change within Central Marin
  • Child's Information

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  • Guardian 1 Info

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  • Guardian 2 Info

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  • Personal Information

  • Emergency Information

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  • Child's Medical Information

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  • I understand and agree that my child(ren)’s and/or my own health/medical insurance is primary and agree to be responsible for medical expenses. Check "Yes" below.

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  • Current Skills

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  • Includes $100 non-refundable administration fee that will be applied toward the cost of the group session. Group is non-refundable unless Marin Superstars is required to cancel the group at the advice of public health officials or in the event that less than minimum number of children enroll (3). 

    We encourage parents to remain at the sessions but this is not required unless your child would benefit from a 1-to-1 aid/support person. (If we find that your child requires additional support after session has started, we will contact you to discuss best options.)

    It is very important to be on time to pick up your child. If something happens and you are more than 5 minutes late to pick up your child, there is a $50 late fee. This is for the safety of the kids first and foremost, as well as to respect any other commitments that the therapist and coach may have scheduled after Marin Superstars.

  • Marin Superstars Waiver

    Outdoor active play is integral to Marin Superstars occupational therapy group operated by Wonder Land OT and Wellness P.C. We will make every effort to ensure the safety of your child. However, we do want you to be aware that it is possible for accidental injuries to occur in this environment. In addition, please be aware that physical contact with the therapist is common in this treatment setting.

     

    I give permission for my child, 

  • to receive occupational therapy treatment at Marin Superstars operated by Wonder Land OT and Wellness P.C. 

    I hereby agree to indemnify and hold Wonder Land Occupational Therapy and Wellness P.C., Marin Superstars and all its officers, directors, employees, representatives and volunteers harmless from and against any and all liabilities for any injury which may be suffered by me or by my child(ren) arising out of or in any way connected with participation in Wonder Land Occupational Therapy and Wellness P.C. and Marin Superstars group OT program. In the case of a medical or surgical emergency, I hereby give permission, to any medical personnel selected by the staff, to secure proper treatment. I give my full permission for my child(ren) to participate in activities, including but not limited to climbing, running, use of balls, bats and rackets, and I acknowledge that group activities may contain an inherent risk of injury.

    Assumption of Risk: I understand the participation of my child in the services provided by Wonder Land Occupational Therapy and Wellness P.C. and Marin Superstars group program carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injury. The specific risks vary from one activity to another but the risks range from minor such as scratches and bruises to serious injuries and consequences. I am voluntarily participating in these Services with knowledge of the danger involved, and agree to assume any and all risks of bodily injury, death or property damage, whether those risks are known or unknown, regardless of the location of the services.

    Indemnification: I agree to indemnify, hold harmless, and defend Wonder Land Occupational Therapy and Wellness P.C. and the therapists and coaches from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees, arising out of Wonder Land Occupational Therapy and Wellness P.C.'s and therapists’ and coaches' involvement in the services, regardless of the location of the provision of services, and to reimburse the same for any such expenses incured. Any controversy or claim arising out of or related to my child(ren)’s participation in this group will be attempted to be settled by a professional mediation service, then by binding arbitration pursuant to the applicable rules of the American Arbitration Association.

    I acknowledge that I understand that the group is non-refundable unless Marin Superstars has been advised to cancel the group by public health officials. If a day needs to be cancelled, there may be a makeup day added at the end of the session or the pro-rated amount for the missed date may be applied to future services.

    Wonder Land Occupational Therapy and Wellness P.C. and Marin Superstars takes your health and safety very seriously and fully intend to protect and keep your child safe.

  • Confirmation

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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    Deposit to secure space for your child - Balance due August 1st, 2025 Product Image
    Deposit to secure space for your child - Balance due August 1st, 2025
    $100.00
      
    Marin Superstars Fall I OT Group - Option to Pay Balance Now  Product Image
    Marin Superstars Fall I OT Group - Option to Pay Balance Now Balances not paid now will be due August 1st, 2025
    $900.00
      
    Total
    $0.00
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