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Grounding Meditation
Kids Yoga and Art Registration Form
Payment in full for the 8 week session is required before the first class. A Refund of 75% of your payment can be made with in a week from the program start date. REFUNDS CANNOT BE PERMITTED AFTER A WEEK FROM THE PROGRAM START DATE.
Please complete all of the required information for your child/children.
*
Indicates required field
Child's Name
*
First
Last
Child's Age
*
2nd Child's Name
*
First
Last
2nd Child's Age
*
3rd Child's Name
*
First
Last
Email
*
3rd Child's Age
*
Phone Number
*
Drop off and pick up of your child is encouraged however, you are always welcome to stay and observe the class.
Please provide your emergency contact information:
Parent's Name
*
First
Last
Cell Phone Number
*
2nd Guardian's Name
*
First
Last
Cell Phone Number
*
Please indicate if I have your permission to use photos of your child in class on my web site and marketing materials.
Photo Release
*
Yes
No
Questions or comments
*
Submit
Home
About
Online Courses
Services
Pet Portraits
Soul Portraits
Shop Face Masks
SHOP NOW
Grounding Meditation