APRIL 2025 Kids Holiday Retreats Registration Form

APRIL 2025 Kids Holiday Retreats Registration Form

School Holiday Retreats are designed to provide children with a joyful, creative, and mindful experience during their holiday break. These retreats combine fun activities with opportunities for relaxation and personal growth in a nurturing environment.
Retreat Dates:

- Tuesday, 8th of April 2025

- Thursday, 10th of April 2025

- Tuesday, 8th of April 2025

- Thursday, 10th of April 2025

What’s included in the retreat:

Art and Craft Activities

These therapeutic sessions encourage creativity and help children express their emotions, similar to art therapy. Children explore their feelings through various artistic mediums in a fun and meaningful way.

Yoga

Each session features gentle warm-ups, yoga poses to improve strength, posture, and flexibility, breathing exercises, and mindfulness games. Yoga helps children build a strong spine, improve digestion, and develop resilience while staying entertained and active.

Meditation and Relaxation

Guided storytime with breathing exercises and sensory experiences helps children calm their minds and develop focus and self-awareness.

Stretching and Movement

Activities to improve flexibility and physical coordination while boosting energy levels.

Mindfulness and Group Games

Interactive games promote teamwork, social skills, and concentration.

Mantra Singing and Instrument Playing

Musical sessions with singing bowls and mantras bring joy and calm, creating a vibrant and relaxing atmosphere.

Most activities take place in our peaceful indoor yoga studio, with some sessions in our safe, enclosed garden, a space children love to explore and enjoy.

What to Bring: Children should bring a packed lunch, a water bottle, and optional items such as a yoga mat, comforter, pillow, or blanket to enhance their comfort during relaxation activities.

We can’t wait to welcome your little ones for a meaningful and enjoyable holiday experience!
Child’s Full Name

First NameLast Name
Child's Date Of Birth

MonthDayYear
Child's Health & Safety Information: (Please select)

Allergies (e.g., food, environmental)Medical conditionsPhysical limitationsAny specific needs or accommodations
Is there any relevant information we should be aware of regarding your child (e.g., allergies, medical conditions, or special requirements)?
These details will be used as the emergency contact information for your child:
Parent/Guardian’s Full Name

First NameLast Name
Phone Number
Email Address
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about Culture Of wellness?
Retreat on Tuesday, 8th of April 2025:

Full day retreat - 9.30 am to 4 pm ($100)Morning retreat - 9.30 am to 12.30 pm ($50)Afternoon retreat - 1 pm to 4 pm ($50)
Retreat on Thursday, 10th of April 2025:

Full day retreat - 9.30 am to 4 pm ($100)Morning retreat - 9.30 am to 12.30 pm ($50)Afternoon retreat - 1 pm to 4 pm ($50)
Retreat on Tuesday, 15th of April 2025:

Full day retreat - 9.30 am to 4 pm ($100)Morning retreat - 9.30 am to 12.30 pm ($50)Afternoon retreat - 1 pm to 4 pm ($50)
Retreat on Thursday, 17th of April 2025:

Full day retreat - 9.30 am to 4 pm ($100)Morning retreat - 9.30 am to 12.30 pm ($50)Afternoon retreat - 1 pm to 4 pm ($50)
I have a child with a sibling who will also be attending yoga classes and understand that I will receive a 10% discount on the fees for the second child’s classes.
Sibling's Full Name:
Additional comment you want us to be aware of?
Release and Waiver of Liability:

In consideration of permitting my child to participate in kids' yoga classes provided by Culture of Wellness (Instructor: Cindy Brugier Sharma), I, the undersigned parent/guardian, hereby:

Release and Discharge: Release and discharge Culture of Wellness, Cindy Brugier Sharma, and any associated instructors, employees, agents, or representatives from any and all claims, liabilities, damages, or expenses, including but not limited to personal injury, property damage, or loss arising directly or indirectly from my child’s participation in the yoga classes.

Indemnification: Agree to indemnify and hold harmless Culture of Wellness and Cindy Brugier Sharma from any claims, actions, or demands brought by or on behalf of my child, or arising from my child’s actions during or in connection with the yoga classes.

Acknowledgment of Risk: Acknowledge and understand that participation in kids yoga classes involves certain risks and hazards. These risks may include, but are not limited to, physical injury, falls, strains, sprains, and other unforeseen accidents. I voluntarily assume all such risks on behalf of my child.
Date

MonthDayYear
Date
Signature

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Thank you for enrolling your child in Yoga classes with us at Culture of Wellness! You will receive your invoice along with a payment link via email. Please be sure to check your spam folder as well.
We look forward to seeing your child on the mat soon!
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