Book a Kids Yoga course: Thursdays 4:15pm 5-13 year olds
Thanks for your interest in Kids Yoga Rangiora. I love sharing the tools of yoga with children to focus their busy brains, stretch and strengthen their growing bodies and expand their eager hearts!

This course runs from 4:15-5:00pm every Thursday for 8 weeks (Term 3, from 30th July to 17th September).
It is hosted upstairs at 5B Kingsford Smith Drive, Southbrook, Rangiora.
The full course fee is $80. Once this form is completed you'll receive an email with details for bank transfer. Places in the course are secured once payment is received.

*FAMILY DISCOUNT* After booking one child in, get 25% off course fees (of equal or lesser value) for the second child and any subsequent children. Fill out a new enrollment form for each child and tick family discount. Immediate family only.
Child profile
Child's name *
Child's age *
Child's gender
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Please share your child's interests, such as favourite hobbies, sports, books, movies, characters. *
I'll try my best to create yoga stories and sequences around themes of interest, whether they be Frozen or The Flash, running or rugby
Please list all known allergies, medical conditions, injuries, physical limitations or concerns
Please share with me any goals you have for your child's physical, mental, emotional or spiritual wellbeing
Do you need to borrow a mat? *
Required
Questions and comments
How did you discover Kids Yoga Rangiora? *
Contact info
Your full name *
Phone number *
E-mail *
What town in North Canterbury do you live in?
Waiver
Please convey the following information to your child: Asana (yoga posture) means posture easily held. If it’s too hard or if it hurts, you can stop! You may rest at any time during the class. It is important in yoga that you listen to your body, and respect its limits on any given day.
I, the parent or guardian, understand that yoga is not a substitute for medical attention, examination, diagnosis or treatment. In the case where my child has an injury, medical diagnosis, or anything else that may be affected by physical activity, I have consulted with a physician to ensure my child can take yoga classes. I recognize it is my responsibility to notify the instructor of any serious illness or injury before every yoga class. I understand that the instructor - Jasmine Gow, and the hosting facilities are not liable for any injury or damages to person or property resulting from the taking of the class. *
Required
I, the parent or guardian, give permission for Jasmine Gow to take photos or videos of my child during class to be used in the following ways (tick all that apply) *
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