Child's Name*

    Child's Classroom*

    Child's age*

    Parent's name*

    Parent's email*



    School / Organization

    Kids in Motion Class

    Your child will remain under the care, direction and supervision of the school while receiving instruction in the Kids in Motion programs. I hereby release and discharge, Kids in Motion, the childcare facility, and its members from all actions, claims, demands, injury or damage resulting from my child’s participation in this activity. There are NO refunds for missed classes.
    I agree with the Liability Release
    I give Kids in Motion permission to publish pictures and/or videos of my child participating in the Kids in Motion programs.
    I agree with the Photo ReleaseI don't want my child photographed

    You’re almost done…

    To finalize registration, choose your payment method:


    Pay online

    We accept VISA, MasterCard and Discover. To pay online please click here.


    Pay with a check

    Mail check payable to:

    Kids in Motion
    239 New Road, Building B 315
    Parsippany, NJ 07094

    No payment due

    If your school or club has made payment arrangements directly with Kids in Motion then no payment is due.