Baby Massage Class Registration form

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Class start date *

YYYY

Name of Parent *

Address *

Phone Number *

Email Address *

Baby's Name *

Baby's Date of Birth *

YYYY

In Case of an emergency call *

Emergency Number *

Any thing I should be aware of about you and your baby before the class starts? *

I agree to the following guidelines *

I will not record any of the massage sessions

I am aware that my screen will be on show within the group sessions

I will have an oil/cream ready to massage my baby (cold/first pressed vegtable oil is best)

I release all responsibility of the trainer

Required

Signed *

Date *

YYYY

Submit

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