Register for Kids Yoga and Art

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