Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Rainbow Park Yoga Consent Form
Rainbow Park Yoga Consent Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Valid E-mail address
Your answer
Are you happy to receive e-mails from us? I promise these will be relevant to the group like information about when the monthly blocks start, no spam at all.
*
Yes
No
Do you consent to me providing first aid to your child if required?
*
Yes
No
Name of child attending
Your answer
Date of birth of child
MM
/
DD
/
YYYY
Home Address
Your answer
Emergency contact details please add 2 Names and numbers
Your answer
Does your child have any physical movement restrictions you feel I should know about?
Your answer
Does your child have any unique needs I should be aware of?
Your answer
Does your child have any allergies I should be aware of?
Yes
No
If so please add details
Other:
Clear selection
Do you consent for me to have physical contact with them ( such as demonstrating a pose, massage ( mainly by other children but I may demonstrate) or comforting if necessary?
*
Yes
No
Other:
Is there anything else you would like me to know about your child?
Your answer
Do you consent to your child having pictures or videos taken if used they may be used for social media or website
Yes
No
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
