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All Boogie and Bounce classes and youth programs are FREE — no payment required and no card needed. Just register to reserve your spot. Fields marked * are required.

I'm registering:Youth (8–17)Adult Fitness (18+)

Adult Fitness Registration — weekend 90-minute sessions for ages 18 and up.

Participant Registration

Participant

Enter the date of birth first — the rest of the form adjusts for youth or adult participants.

Participant full name *

Date of birth *

Choose a sessionEvery fitness class is 90 minutes

Preferred location

Regular shoe size

Preferred Kangoo boot size (if known)

Is this your first time in Kangoo Jump boots?

Accommodation needs (optional)

Parent / Guardian

The adult responsible for this participant.

Parent / guardian full name *

Parent / guardian email *

Parent / guardian phone number *

Street address *

Apt / suite (optional)

City *

State *

ZIP code *

Yes, text me class reminders, check-in details and schedule changes. Message and data rates may apply; reply STOP any time.

Emergency Contact

Please list someone other than the contact above if possible.

Emergency contact name *

Relationship

Emergency phone *

Medical Information

Physician (optional)

Physician phone (optional)

Medical conditions

Allergies

Medications that may be needed during class

Physical limitations or injuries

Insurance

Insurance company

Member ID

Group number (optional)

Pickup & Transportation

Who is authorized to pick up the participant?

I give permission for my child to be transported by Boogie and Bounce staff to and from program-related activities when applicable.

Permissions & Waivers

I give permission for Boogie and Bounce staff to administer basic first aid. *I give permission for staff to call 911 and authorize emergency medical treatment if I cannot be reached. *Liability waiver: I understand Kangoo Jump activities involve physical exertion and inherent risk, and I release Boogie and Bounce, its staff and partners from liability for injury or loss arising from participation. I confirm the participant is physically able to take part. *

Photo and media release (required): Photos and videos will be taken during all Boogie and Bounce classes and may be posted online or used for advertising and promotional purposes. By registering, the adult participant or the child’s parent/legal guardian agrees to this required photo and media release.

I understand and agree. *

Your Class Is Free

No payment is required. Submit this form and your spot is reserved.

Due today: $0

All Boogie and Bounce classes and youth programs are FREE — no payment required and no card needed. Just register to reserve your spot.

Digital Signature

Typing your full name below acts as your legal electronic signature.

Parent / guardian full name *

Free Classes

Youth (8–17)
8-week session and drop-in classes — FREE
No payment required. Spots are limited, so register early.
Adults (18+)
8-week session and drop-in classes — FREE
No payment required. Spots are limited, so register early.

See the class schedule