Fit Teens

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Child's Name *

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Last

DOB (Date of Birth) *

Parent's Name *

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Last

Email *

Phone *

Home Address *

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City

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Allergies/ Concerns/Comments (if not please write n/a) *

Which Group Program are you registering for? *

• Mini Kiddos| Friday| Ages 3-5
• Fit Teens| Monday| Ages 12+
• Strong Kids 2 | Wednesdays | Ages 5-8
• Strong Kids 2 |Wednesdays | Ages 8-12
• Girls Empowerment | Thursdays | Ages 5-8
• Girls Empowerment| Thursdays| Ages 8-12
• Teen Conditioning | Thursdays | Ages 12+
• Brain Games | Thursdays | Ages 8-12+

Are you a current KidSHINE client? *

• Yes
• No

Review and Check *

• I agree to the Terms of Service: I hereby give my permission for my child to participate in an EXERSHINEkids POWER Bootcamp Program, therapeutic group or summer program at kidSHINE (28 Forest Ridge Drive Rowley, MA 01969 and/or 14 Cedar St. Amesbury, MA 01913). I waive and release all rights for any claims against kidSHINE LLC for any damages and/or injuries that may occur to my child while participating in kidSHINE programming or EXERSHINEkids Bootcamps at kidSHINE. I certify that my child is in good physical health to participate in kidSHINE programs or bootcamp classes, 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 bootcamp classes and programs 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 $50 deposit. If you cancel registration within one week of the session start date, we will refund 50% of the program fee, minus the $50 non refundable deposit. Once the session has started, refunds are not available. However, we can offer a prorated credit for the remainder of the classes not attended.
• I agree to the Make Up Policy: I understand that this is an 8-week session and if there is a school vacation week that falls during the session, the make-up week will be scheduled during the corresponding school vacation week. If there is no school vacation week (Sept- Oct session) your child may come to a different class to do a make-up class with advanced scheduling. If your child misses a class and you want to do the make-up week, please email billing@kidshine–ot.com or call the office to schedule.

Social Media Review and Check *

• I give permission for my child to be included in photos videos that may be featured on the KidSHINE website and / or social media pages. I understand that my child’s name will not be linked to the post to pictures or video.
• I do not give permission for my child to be included in photos or videos that may be featured on the KidSHINE website and / or social media pages.

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Day of Week: Mondays for 8 week - Beginning September 7,  2026
Ages: Teens ages 12-18 with developmental motor challenges
Time: 4:30 - 5:15PM
Duration: 45 Minutes
Location: kidSHINE Rowley

This program, designed for teens (12+) with Down Syndrome, aims to promote lifelong exercise habits and teach self-regulation through physical activity.  Teens will learn safe weightlifting techniques, proper exercise form, and engage in age-appropriate games to promote successful social participation, while building connections with peers.
There is no make-up week during this session.

*Please note: If your child requires 1:1 therapist support for successful participation in an integrated group program please email Amy@kidshine-ot.com for availability and pricing details.

Please enable JavaScript in your browser to complete this form.

Register for Program

Child's Name *

First

Last

DOB (Date of Birth) *

Parent's Name *

First

Last

Email *

Phone *

Home Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Allergies/ Concerns/Comments (if not please write n/a) *

Which Skill Specific Summer Program are you registering for? *

• Exercising our Emotions
• Writing Warriors
• Empowering Our Emotions: A Therapeutic Group for Girls
• Mini Movers
• Foundational Fitness For Teens
• Food for Fun | Mondays
• Food for Fun | Wednesdays
• Food for Fun | Mondays & Wednesdays
• Get Ready for School

Are you a current KidSHINE client? *

• Yes
• No

Review and Check *

• I agree to the Terms of Service: I hereby give my permission for my child to participate in an EXERSHINEkids POWER Bootcamp Program, therapeutic group or summer program at kidSHINE (28 Forest Ridge Drive Rowley, MA 01969 and/or 14 Cedar St. Amesbury, MA 01913). I waive and release all rights for any claims against kidSHINE LLC for any damages and/or injuries that may occur to my child while participating in kidSHINE programming or EXERSHINEkids Bootcamps at kidSHINE. I certify that my child is in good physical health to participate in kidSHINE programs or bootcamp classes, 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 bootcamp classes and programs must be paid in full prior to the start of the program. If you cancel registration more than one week before the program starts, we will refund the full amount minus a $100 deposit. If you cancel registration within one week of the session start date, we will refund 50% of the program fee, minus the $100 non refundable deposit. Once the program has started, refunds are not available.
• I agree to the Make Up Policy: I understand that this is an 8-week session and if there is a school vacation week that falls during the session, the make-up week will be scheduled during the corresponding school vacation week. If there is no school vacation week (Sept- Oct session) your child may come to a different class to do a make-up class with advanced scheduling. If your child misses a class and you want to do the make-up week, please email billing@kidshine–ot.com or call the office to schedule.

Social Media Review and Check *

• I give permission for my child to be included in photos videos that may be featured on the KidSHINE website and / or social media pages. I understand that my child’s name will not be linked to the post to pictures or video.
• I do not give permission for my child to be included in photos or videos that may be featured on the KidSHINE website and / or social media pages.

Submit