Registration: Stronger Me Programme

Registration: Stronger Me Programme

A programme for Healing and Growth: 6, 13, 20 and 27 May 2026 15:30 - 16:30 | R600
Name of Participant

First NameLast Name
Age
Grade
School
Parent / Guardian

First NameLast Name
Relationship to child
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Are there any specific concerns you’d like the facilitator to be aware of?
Consent & Acknowledgment
Please read and sign below:

I, the undersigned parent/guardian, give permission for my child to participate in the Children Affected by Bullying Workshop facilitated by Bay Wellness Solutions.

I understand that the programme is therapeutic in nature and aims to support children in building resilience, self-esteem, and emotional awareness.

I consent to my child’s participation in group activities and understand that all information shared will remain confidential unless disclosure is necessary for the child’s safety or well-being.

I also give permission for Bay Wellness Solutions to contact me regarding feedback or follow-up support if necessary.
Signature

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PLEASE NOTE: Workshops will only take place once a minimun of 5 participants are enrolled. Upon enrolling a minimum of 5 participants, we will make contact for payment which will finalise the particpants registration.
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