Kids & Fitness Enrollment Form – The EDGE Sports & Fitness

Kids & Fitness - Application for Enrollment
Please fill out the form below and someone will be in touch with you as soon as possible.
20 Joy Drive
South Burlington, VT 05495
802-658-0080
4 Morse Drive
Essex Junction, VT 05452
802-879-7734 x1113
Today's Date
MM slash DD slash YYYY
Child's Name*
Date of Birth*
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State ZIP Code
Proposed Start Date
Requested Days
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Requested Number of Days
Location 1st Choice
Location 2nd Choice
Parent/Guardian Contact info
Parent Guardian Name*
Parent/Guardian Address
Street Address Address Line 2 City State ZIP Code
Home Phone
Work Phone
Cell Phone
Email*