Join our Kid's Club
Once a month, we will host a Kid's Club event. The Kid's Club is for children between the age of 5 - 13 years old. We will provide the children (and parents) with the education, tools, and skills to improve their lives by eating better, exercising, reading, meditation, and more! Light refreshments will be provided for each child, at each event. NOTE: THIS FORM IS FOR INFORMATION PURPOSES ONLY.
Parent/Legal Guardian Name (First and Last) *
Parent/Legal Guardian Email *
How many children do you want to join our Kid's Club? *
In the space below, provide any additional information you would like to share.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Harmonious Living Chiropractic: Fitness & Wellness Center. Report Abuse