Return to our Bike Riding page.
Privacy is very important to us. No information sent to Intensive Therapeutics will in any way be distributed or shared without your acknowledgement and consent.
Instructions to complete registration forms:
- Complete the Contact, Registration, and Medical information below and submit.
- Complete and sign the following two (2) consent forms:
Informed Consent for Therapy Programs Form
Video/Photo Release Form
- Consent forms can either be uploaded at the end of this form, mailed to:
Intensive Therapeutics, Inc.
31 Fairfield Avenue
West Caldwell, NJ 07006
emailed to: firstname.lastname@example.org
*Forms must be completed, signed, and received at least one month prior to program start.
This form is currently closed for submissions, as our bike riding program has reached full enrollment. Thank you!