Enrolment Form

Enrolment Form

Mamas Run & Relax Club (all children welcome/Post Natal Friendly)
Term 4 2026 (8 week Term)

21st October- 9th December

WEDNESDAYS

9.30am-10.15am (All children welcome)

Kangaroo Ground Hall (Next to the CFA Building)

3 Ness Ln, Kangaroo Ground

LIGHT STRETCHING TO WARM UP then a RUN OR WALK (1-2km) finishing with COOL DOWN GROUNDING YOGA POSES and a guided MEDITATION

BYO YOGA MAT & BLANKET FOR YOUR BABY TO LIE ON. PRAMS, CAPSULES, BABY WEARING & BOUNCERS WELCOME. OLDER CHILDREN MAY FIND QUIET TOYS & A SNACK HELPFUL. OLDER CHILDREN MAY ALSO BRING A YOGA MAT TO JOIN IN, HOWEVER THIS CLASS IS AIMED AT ADULTS. IF THE WEATHER DOESN'T PERMIT THE RUN/WALK PORTION OF THE CLASS, THE CLASS WILL BE A YOGA & MEDITATION CLASS FOR THAT WEEK.
Your Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Your E-mail
example@example.com
Babies/children's names & ages attending class with you. Babies must be at least 6 weeks old
If you are postpartum did you experience any post birth or pregnancy complications that may affect your current yoga practice? If YES please specify below, if not write NO, or write N/A if not relevant. We recommend seeking your health professional's ok before beginning any of our pre/post natal classes
Do you experience any of the following?

Other
If you selected 'other' or have more than one concern above please specify
Emergency contact NAME & PHONE NUMBER:
What do you hope to get out of the class?

Other
If you selected 'other' or have more than one answer above please specify
How did you hear about us?
Unfortunately classes are NOT eligible for refunds if you cannot make it along on the day.
Please select your enrolment option below. Class passes can be used at any time during the term and do not need to be used consecutively.
Payment is via direct bank deposit.

PAYMENT MUST BE MADE ON ENROLMENT TO SECURE YOUR PLACE

Bank Details:

Name- Little Lunar Yoga

BSB-013333

A/C-1551 70936

REF-YOUR FULL NAME RUN RELAX CLUB T4

Please email a screenshot or receipt from your transaction once payment has been made.

A welcome email will be sent once payment has been received and prior to the first class.

Thanks

Lauren
I agree to adjust my practice according to my limitations to ensure no personal injury occurs. I agree to inform the teacher BEFORE class of any recent injury or change to my physical condition. I hereby declare that I release Little Lunar Yoga of any responsibility for any injury sustained and that I will take full responsibility for myself and my baby/child during the classes.
Should be Empty: