Welcome to Lil’Remix Exercise Academy!!

Fill out the form so our team can create the best experience for your little one!

Your Name

First Name

Last Name

Phone

(###)

###

####

Your Child's Name

First Name

Last Name

List any nicknames

Your child's age

List An Emergency Contact

And relationship to your child

List any adults who are allowed to pick up your child

Days your child will be attending

Monday, June 12th

Tuesday, June 13th

Wednesday, June 14th

Thursday, June 15th

Friday, June 16th

Please list any allergies/medical conditions your child has

What are your child's likes and hobbies?

What do you hope to get out of the program?

Anything else we should know about your child?

Open Daily