Child Yoga Class Sign-Up
Please fill out the form to enroll your child in our monthly yoga classes and provide necessary consents.
Parent's Full Name
*
First Name
Last Name
Parent's Email Address
*
example@example.com
Parent's Phone Number
*
Please enter a valid phone number.
Child's Full Name
*
First Name
Last Name
Child's Age
*
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Photo Release Consent (for social media page)
*
Yes
No
Fee Information
The fee for the child yoga class is $70.00 per month, which covers a total of 5 classes. You can cancel at any time. There is no registration fee.
Class Sign-Up Options
*
4 weekly 1-hour yoga classes + 1 Saturday class
Child's Smoothie Drinking Permission
*
Yes, child can drink smoothies made from: natural spring water, ORGANIC bananas, strawberries, blueberries, kiwi, peaches, kale, okra, spinach, etc. (Fruits and vegetables subject to change based on the season or availability).
No, child cannot drink smoothie
Yes, BUT NO ___________________________ in the drink due to allergy
Child's Allergies or Special Needs (if any)
Parent's Signature
*
Child's Daycare or School Information
Name of Daycare or School
*
Enroll My Child
Enroll My Child
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