MOVE by GoodLife Kids Program - Classroom Intake Form

MOVE by GoodLife Kids – Classroom Intake Form

Welcome to the MOVE Program! This form must be completed by each individual classroom teacher. It will be used to gather contact details and essential classroom information, ensuring our MOVE Coaches are set up for success before your MOVE class begins. It is important that you complete all required sections, as failure to do so will result in a delayed start date. If you have any questions, please reach out to us at move@goodlifekids.com. We appreciate you taking the time to fill out this form! As a reminder, all student release forms must be collected prior to your class start date. We look forward to moving with you soon!

School Name(Required)

Class Dates(Required)

Monday

Tuesday

Wednesday

Thursday

Friday

Please select all the dates the apply.

Class Time(Required)

Please indicate the class time(s)

Your Name(Required)

First Last

Your Email(Required)

Names of additional Teachers or Supporters(Required)

If no additional supporters, please put in none.

Additional Teachers and Supporters contact information(Required)

If no additional supporters, please put in none.

Student Profile(Required)

Group

First Name

Last Name

New or Returning

T-Shirt Style (Mens/Ladies)

T-Shirt Size (XS, S, M, L, XL, XXL)

Classroom Profile(Required)

Please share a detailed overview of your classroom, including the general dynamics among students and staff, any accessibility needs, and whether any students use adaptive equipment. We’re also interested in understanding how your students respond to multi-step instructions, what strategies or supports you use to help them follow along, and which instructional tools—such as visual aids, prompts, or step-by-step guidance—are most effective. Additionally, please describe any challenges you anticipate when introducing physical activity into your classroom, including factors that may affect student participation or engagement.

Fitness Level(Required)

Please describe the general fitness level of the students in your classroom and share your thoughts on whether they would benefit more from a beginner or advanced level of physical activity programming. Beginner: An introduction to exercise and movement patterns, focusing on slower tempos and learning how to coordinate breath with movement. Programming includes a mix of upper, lower, and full-body exercises. Advanced: Builds endurance and increases challenge by varying speed and breathing demands. Programming includes a mix of upper, lower, and full-body exercise.

Positive Experience(Required)

We want to make this a positive experience for all, please describe any potential triggers for your students.

Special Interests(Required)

Do your students’ have any special interests (ex. favourite movies, characters, hobbies, music)?

Any Additional Information?(Required)

To help set the MOVE Coaches up for success and ensure your students have a meaningful and engaging experience, please share anything you think would be helpful for the Coaches to know about your class.