Baby Massage Booking Batley

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(IMPORTANT: Please note that this is a mother and baby class.

Due to space restrictions please refrain from bringing other adults with you.

You and your baby MUST have had your 6week check with your GP. If there were any issues flagged up at the 6week check for your baby please get in touch with us BEFORE completing this form.)

4 Week Course

Venue: Manorfield Infant and Nursery School,

Time: 12-1pm

Day: Mondays

Date: 8th June - 29th June 2026

Manorfield Infant Nursery School,

(Use the nursery entrance opposite 13 Chestnut Avenue),

Batley, WF17 7DH

Email *

Full Name *

Phone Number *

How would you describe your ethnic group?

Which area do you currently live in?

Batley

Dewsbury

Heckmondwike

Mirfield

Ravensthorpe

Huddersfield

Wakefield

Birstall

Other

Clear selection

How old are you?

Less than 20years

20 to 24 years

25 to 29 years

30 to 34 years

35 to 39 years

40 to 44 years

45 years +

Clear selection

Please confirm that you have recovered well enough to sit on the floor with your baby for this class duration (or please let us know if we need to make some other arrangements to ensure that you are comfortable)

Yes

Other:

Clear selection

Name of child *

Child's date of birth *

YYYY

How many months old is your baby?

Was your baby born prematurely? If so, at how many weeks were they delivered?

Allergies/Medical Info for baby *

Do you have eczema or sensitive skin? If so, are you using any particular medications or creams for this?

Yes but self managing with store-bought cream

Yes and I use prescribed medication for this

Does your baby have eczema or sensitive skin? If so, are you using any particular medications or creams for this?

Yes but self managing with store-bought cream

Yes and baby has prescribed medication for this

Please confirm that you have paid your £20 non-refundable deposit for your place.

HappyMOMents

Sortcode: 309049

Account Number: 55997968

Reference: BMJune26Batley

Yes, I have paid online

No, I need to speak to someone about making this payment. (Please call our administrator on 07796 670624 for support with this before you submit this form)

Required

Thank you for completing this form

We will contact you via a dedicated Whatsapp group with more information shortly

(If Whatsapp causes an issue for you, please contact our administrator on 07796 670624).

A copy of your responses will be emailed to the address you provided.

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