Kid Fit Referral form Kid fit is a 12 week program that meets every Tuesday and Thursday at 4:45pm-6:15pm. This program is taught in conjunction with Island Health Fitness. It provides a supportive environment in which overweight kids (ages 8-17) can improve their exercise and eating patterns. To sign up call the Cayuga Center for Healthy Living program (607) 252-3590 Please print and bring this form with you.
Name:	____________________________________
Address:	____________________________________
Guardian's Name:	____________________________________
Phone Number:	____________________________________
Referring Physician:	____________________________________