Nurture Baby Massage Registration
Register for the 4-week baby massage block starting Wednesday, 11th March, 10:00–11.00 AM at Barnhill Farm. Total cost: £48.
Parent's Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (0) 000-0000000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Number
*
Please enter a valid phone number.
Format: (0) 000-0000000.
Baby's Full Name
*
First Name
Last Name
Baby's Date of Birth
*
-
Day
-
Month
Year
Date
Does your baby have any medical conditions or special requirements?
Does your baby have any hip dysplasia concerns?
Was your baby born prematurely?
I confirm my baby is well on the day of class and I will inform the instructor of any changes in health.
*
I agree
I give permission for Nurture Baby Massage to take photographs and videos for social media
*
I consent
I do NOT consent
I understand baby massage is complementary and not a replacement for medical advice.
*
I agree
I understand the baby massage block runs for 4 weeks starting on Wednesday 11th of March, 10:00 to 11:00 AM, and the total fee is £48.
*
I understand
Registration Fee Payment
*
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4-Week Baby Massage Block
Baby massage sessions for parents and babies. Wednesdays, 11th March – 01st April, 10:00–11:00 AM.
£
48.00
Register
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