Enrolment Form

Enrolment Form

Mamas & Minis Yoga Group
Term 1 2026

WEDNESDAYS

10.30am-11.15am (Babies from 6 wks/early crawlers)

25th Feb to 1st April

Full term sign up -x 6 weeks-$144 ($24 per class)

Casual $30 per class

Location-

Eltham North Hall

8 Cedar Avenue, Eltham North

Free parking & baby change facilities available on site. Park at the top carpark upon entry. Enter into the foyer through the large glass doors and walk towards the right hand side. Please arrive to class 5 minutes early to get settled in. It is also a few minutes walk from the carpark to the hall entry.

BYO YOGA MAT & BLANKET FOR YOUR BABY TO LIE ON. PRAMS, CAPSULES & BOUNCERS WELCOME.
Your Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
Your E-mail*
example@example.com
Babies names & ages attending with you*
Full Term sign up- (6 weeks) $144Casual Class x1 -$30
How many weeks post partum are you? We advise 6 weeks minimum post birth and a GP or health professional clearance to return to exercise or begin any new exercise.*
Did you experience any post birth or pregnancy complications that may affect your yoga practice? If YES please specify below, if not write NO*
High or Low blood pressureHeart ProblemsAsthmaArthritisCarpal TunnelWeakened Wrists/kneesNeck ProblemsGeneral back painPubic Symphysis Pain and/or Sacroiliac painAbdominal SeparationPelvic floor weaknessNone of theseOther
If you selected 'other' or have more than one concern above please specify
Does your child/children have any medical conditions that may effect their ability to join in with baby yoga/baby massage? If YES please describe below.*
Emergency contact NAME & PHONE NUMBER*
RelaxationFlexibility & strengthRelief from neck, upper body & back painPelvic floor strengtheningGentle Yoga and stretchingMore active fitness type yogaConnection and bonding with your miniMeeting other local Mamas & minisLearning baby massage and yoga to use at homeOther
If you selected 'other' or have more than one answer above please specify
How did you hear about us?*
Yes I agree
Term 1-Full term Wednesdays (x6 weeks) $144Casual Class $30
Please make payment via direct bank deposit on completion of this form. Your place is not secure until payment is made.

Once payment is made email a screen shot or payment receipt to:

littlelunaryoga@gmail.com

Bank Details:

Name- Little Lunar Yoga

BSB-013333

A/C-1551 70936

REF-YOUR FULL NAME MAMA MINI T1

A welcome email will be sent once payment is received and before the first class.

Thank you

Lauren
Yes I agree
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