Yoga Camp Registration Form
Welcome to the official information form for Taking ROOT & Taking FLIGHT Yoga Camps! Two wonderful and wholesome yoga camp for kids ages 6-9 and 10-13.

Throughout the week we will participate in daily yoga classes, mindfulness practice, hike on the enchanting nature trail, spend time in the gardens, create a healthy kitchen treat, journal and participate in yoga/nature-themed art activities...all the while keeping yoga in mind and enjoying the beautiful and natural setting!
Space is limited, so register early!

TAKING ROOT a yoga camp for kids ages 6-9, or entering 1st through 4th grade. It will take place from July 8th-12th, 9am-3:30pm.

TAKING FLIGHT (space still available) a yoga camp for kids ages 10-13, or entering 5th through 8th grade. It will take place from July 20th-24th, 9am-3:30pm.

Both camps will take place at Le Petite Farm & Retreat, 532 Haverhill Road, in beautiful & peaceful Chester, NH.

Camp is $200 for the week (Sibling discounts are available and taken into account on the registration form).
Email address *
How many children did you register? This is the amount of children you are registered for one or both of the camps. (Children need to be part of the same family) *
Taking ROOT Camp (ages 6-9, entering 1st-4th grade): Please list the children you registered for this camp. Include children's First & Last Name(s) and age - Please separate with commas
Taking FLIGHT Camp (ages 10-13, entering 5th-8th grade): Please list the children you registered for this camp. Include children's First & Last Name(s) and age - Please separate with commas
Parent's First & Last Name(s)- Please separate with commas *
Phone Number(s) - Please separate with commas *
Mailing Address *
Emergency Contact #1 - Name & daytime phone number *
Emergency Contact #2 - Name & daytime phone number *
Allergies? Yes or No? Please describe for each child. *
Epipen? Yes or No? Please describe for each child. *
Inhaler? Yes or No? Please describe for each child. *
Please list any other medical (or important) conditions that I should be aware of , or any past or current injuries or limitations for each child. *
PERMISSION *
Required
MEDICAL RELEASE *
Required
CANCELLATION POLICY *
Required
PHOTOGRAPHY RELEASE - Please choose one *
Required
ELECTRONIC SIGNATURE - Please type your name in full. This will serve as your signature and understanding of all items in this registration. *
Additional Questions and/or Comments
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