Clone of Register for Incredible Kids 2025!

Register for Incredible Kids 2026

Join us for music, dancing, games, sensory fun, and more! This program is designed specifically for kids with disabilities. This group will run Wednesdays at the Putnam Public LibraryNovember 18th, Nov 25th, December 2nd, 9th, 16th and 23rd 4:30-5:30 all ages welcomePlease sign up as space is limited!
Child's Name

First NameLast Name
Child's Age
Address

Street Address

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Any medical conditions or allergies?
Does your child need special accommodations? (i.e., wheelchair, noise, etc.)
Does your child have any special interest or preferred activity ?
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 Incredible Kids 2026