Mini Movers Yogalates Enrollment Form
Register your child (ages 2-6) for Mini Movers Yogalates at your Montessori school. Please complete all required fields below.
Parent Name
*
First Name
Last Name
Parent Email Address
*
example@example.com
Parent Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Child's First Name
*
Child's Age
*
Please Select
2 years
3 years
4 years
5 years
6 years
School Selection
*
Please Select
Montessori of North Ranch
Children's House Montessori of Agoura Hills
MountainView Montessori
Access Code
*
Allergies or Medical Conditions (optional)
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
I give permission for my child to be photographed or filmed during Mini Movers Yogalates classes. I understand these images may be used for promotional purposes including social media, newsletters, and the program website. (Optional — no impact on enrollment.)
Yes
Add me to the Mini Movers Yogalates newsletter when it launches. I'll receive class updates, schedules, and at-home movement tips. (Optional — unsubscribe anytime.)
Yes
I understand that participation in Mini Movers Yogalates is voluntary. I release Arina Levintant and Aria Pilates Studio from liability for any injury that may occur during class. I confirm my child is in good health and able to participate in gentle movement activities. I consent to enrollment and agree to the program terms.
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