Tingalpa State School After School Yoga Class Registration

🌿 After-School Yoga, Mindfulness & Meditation Classes

Tingalpa S.S - Registration Form — Term 3
The classes will commence in the second week of Term 3.

Give your child the gift of calm, connection, and movement.

Our weekly after-school yoga sessions are a beautiful way for children to unwind after a busy school day. Through playful movement, breathing exercises, and relaxation techniques, kids will learn to listen to their bodies, manage big emotions, and build confidence, all while having fun!

These sessions are designed to be gentle, inclusive, and nurturing, helping children develop strength, flexibility, and mindfulness in a supportive environment.

No experience needed, just a curious heart and a willingness to move!
When: Every THURSDAY from 3.15pm to 4.15pm

Where: Tingalpa State School Hall

Term 3 Classes Dates:

Thursday 24th July

Thursday 31st July

Thursday 7th August

Thursday 14th August

Thursday 21st August

Thursday 28th August

Thursday 4th September

Thursday 11th September

Thursday 18th September

Price: $171/Term (pro rata for 9 classes)
🧘‍♀️ Little Yogi - Full Name*

First NameLast Name
🧘‍♀️ Little Yogi - Date Of Birth*

MonthDayYear
🧘‍♀️ Little Yogi - Grade/Class*
👩‍👧 Parent/Guardian's Full Name*

First NameLast Name
👩‍👧 Parent/Guardian's Contact Phone Number*
Please enter a valid phone number
👩‍👧 Parent/Guardian's Contact Email Address*
example@example.com
👩‍👧 Parent/Guardian's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact (if different):
Full Name
Phone number
Child's Health & Safety Information:*

Allergies (e.g., food, environmental)Medical conditionsPhysical limitationsAny specific needs or accommodationsNoneOther
Is there any relevant information we should be aware of regarding your child (e.g., allergies, medical conditions, or special requirements)?
Do you give permission to take photos of your child during the classes for use in the school newsletter and website?*

Yes, I give permissionNo, I do not give permission
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), I, the undersigned parent/guardian, hereby:

Release and Discharge: Release and discharge Culture of Wellness, Cindy Brugier, 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 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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📌 Please Note
- PREP children must be collected promptly at 4:15 pm from the hall.
- Spaces are limited and allocated on a first-come, first-served basis.
- There is no lock-in for the year — we operate term by term.
- You will receive an email with a new registration form at the end of each term if you wish to continue.
- If you are planning to miss more than one class during the semester, please reach out to us and we can prepare a pro rata invoice accordingly.
Any additional comments we should be aware of? (e.g. My child will have a sibling attending and I would like to receive 10% off for the second child / I can't attend the full semester and would like to be billed pro rata / etc.)
Thank you for signing up! We’ll be in touch shortly via email with your invoice for payment.
We look forward to seeing your little yogi on the mat soon!
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🌿 After-School Yoga, Mindfulness & Meditation Classes