2026 Parent + Mommy & Me Sensory Session Registration Form

MOMMY & ME SENSORY SESSION FORM

Our next mommy & me sensory session is June 27th at 1:30pm - 3:30pm at 39 Allerdyce Drive!
Welcome!

We're so excited to have you on board for a sensory session with us and cannot wait to share all the exciting things we have planned. Please fill out the information below. Once completed, you and your child are registered for that session and we'll send you any necessary information shortly after!
Child's Name

First NameLast Name
Age
Year + months (i.e.: 2yrs & 4mths)
Date of Birth

MonthDayYear
Gender
Child's Photo

Browse Files
Optional - so that we can recognise you if you're new! Cancelof
Is your child on the autism spectrum or do they have any other special needs/disabilities?
If yes or possibly, please provide further information:
Medical Information

Please skip this section if none are applicable to your child.
Do you or your child have any allergies or medical conditions we need to be aware of? If yes, please list them below:
Parent's Information

Incase we need to get in touch with you!
Parent

First NameLast Name
Parent's Number

Area CodePhone Number
Parent's Email
example@example.com
Parent 2

First NameLast Name
Parent 2's Number

Area CodePhone Number
Parent 2's Email
example@example.com
I would like to register my child for the...
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June 27th Mommy & Me Sensory Play Session
1 parent + 1 child to attend a Mommy & Me Sensory Session

5,000.00 JMD Quantity

June 27th Mommy & Me Sensory Play Session (Double Parent Space)
2 parents + 1 child to attend a Mommy & Me Sensory Session. We can only allow a few children to have BOTH parents attend the session (based on space size) All double-parent spaces will be given on a first-registered basis.

6,500.00 JMD Quantity

Total

0.00 JMD
Payment Details

Payments should be made via bank transfer and a screenshot of the payment should be sent VIA EMAIL to thesensoryspaceja@gmail.com. After, a receipt will be sent to your email! Payments should be made anytime before attending the session to: Myelle Peralto || NCB Constant Spring Branch || Savings account #334463664
Please note that if your child is unable to attend the session that has been chosen and payment has already been made, it can be credited for any of up to 2 Mommy & Me Session dates afterwards.

Our refund policy is as follows:
Full refunds can be issued up to 2 months after the session date, anytime after that, a refund cannot be issued.
How did you hear about our Mommy & Me Session?

Other
Our social media platform keeps our parents and their family members connected & engaged with our activities as well as promoting upcoming events. We understand that not all parents would like their child to be posted on social media, so please let us know what you're comfortable with:
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MOMMY & ME SENSORY SESSION FORM

Welcome!

Medical Information

Parent's Information

I would like to register my child for the...

Payment Details