Name *

of adult attending

First Name

Last Name

Child's Name *

First Name

Last Name

Second Child's Name

Only fill this section if you have twins attending a course. Please note it is only suitable to attend private Baby Yoga with twins.

First Name

Last Name

Child's Date Of Birth *

MM

DD

YYYY

Emergency Contact's Name and Number *

NOT the person attending with the child

First Name

Last Name

Will you be able to sit on the floor and do light yoga inspired exercises? *

This only applies to Baby Yoga

Yes

No

N/A

Which course or class would you like to attend?

Streatham Baby Massage

Balham Baby Massage

South Norwood Baby Massage

Anerley Baby Massage

Dad's Baby Massage workshop

A Private 1-2-1 Massage booking

A Private group Massage booking

Other

Safety guidelines *

Please read these guidelines carefully before you attend your first class. Adults work with their own baby. When practicing with your baby, never rush or force anything. If you feel stressed or tense, just take a break and come back to the practice later. Always ensure that you feel safe, secure and confident with the way you are holding or working with your baby. Never do anything that you do not feel comfortable with. If your baby is unwell, it is best not to attend the massage & yoga class. If your baby is crying excessively and cannot be comforted, he/she may be ill. Never practice on a distressed baby, or if your baby is limp, pale, has a temperature, or any difficulties breathing. Please seek appropriate medical help. It is not recommended to practice within 24 hours of your baby’s immunizations, you may attend the class and watch. If yourself or your child are unwell, displaying any symptoms of Corona virus or have been in close contact with the virus please do not attend class. If you are running late or cannot attend please inform your class leader as soon as possible as some venues require us to let you into the building. 🌟 Money-back guarantee 🌟 If you book a course with us that is paused because of lockdowns you now have 3 flexible options to choose from: 1️. Baby Massage & Baby Yoga classes move to our online recorded course platform (where you'll have access to not only the course you were booked in for but ALSO our deluxe online courses (5 to choose from). Learn in your own time at a pace that suits you, safely from the comfort of home. Lifetime access and it's almost 10 hours of learning! There is no online learning option for messy play families please see option 2 & 3. 2. Your space will be held until we are able to reopen in the class you have booked in for. If we are closed for a long time & that class is no longer suitable for your baby's needs you'll get priority access to move to the next class up (space permitting) 3. You can have a refund for the classes you are unable to attend, minus the 5% booking and processing fees. *You may use both option 1 & 2 together. Disclaimer Please sign the following disclaimer. • I have read the above safety guidelines and will ensure that I adhere to them. • I take full responsibility for myself and my baby, and for everything that happens to me and my baby in relation to the Baby Massage (and/or yoga) class. • If I have any doubts, I will seek the advice of my medical professional before proceeding with Baby Massage classes. • I will keep the Baby Massage Teacher informed of any health issues that arise over the course of the classes, both for me and my baby. If attending combined Massage and Yoga I confirm I am in good health and can partake in light exercise. By ticking the box you are saying that you have read and accept the terms of the disclaimer. The tick is a digital signature.

Yes

Would you like to be added to our mailing list? *

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Yes, Sign me up!

No thanks, I don't want to receive all of that cool stuff.