Baby Massage Course registration
Thank you for registering to attend Pumpkin Pickle Baby Massage four week course. Each week we meet for 1.5 hours to give time for baby massage, and equally important, discussion on weekly challenges and achievements. Please fill out these quick questions to complete registration. P&P will come back to you to guarantee your space (please add
to your contacts to avoid me ending up in your junk mail!). Small groups allow for group interaction and maintain social distance. Face mask to be worn on arrival and departure with hand sanitiser galore! Please ensure that you contact me if there are any changes, particularly with COVID-19 symptoms or allergies (you or baby) as I will be baking for the group every week & I like to ensure no-one is left out! I look forward to meet you soon!
Pumpkin Pickle Baby Massage
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Full Name of Parent
Mobile number (used for reminders & whats app group)
City/Town & county (our class venue is at The Well Retreat - click here for google maps
Surrounding village (<5miles) - please state below
Which course are you registering for? (Day/time subject to change)
Tues 12th Oct 9.30-11 (no class 26th Oct), last class 9th Nov
Tuesday 23rd Nov 9.30-11 (last class 14th Dec)
Tues 18th Jan 9.30-11 (last one 8th Feb)
Baby's details: Full Name
Baby's details: Baby birthday (add due date if pregnant & registering interest).
Mum & Baby health (please share details relevant to baby massage e.g. health conditions, difficult birth, premature, hip dysplasia, plagiocephaly, colic, constipation - or the reason you want to join baby massage in Brackley).
Is this your first baby?
Dietary restrictions/allergies for YOU or Baby:
I confirm that I have read the following online policies and guidance.
Yes, I confirm I have read the disclaimer/policies online
Yes, I confirm that my details may be shared with The Well Retreat (provider of baby massage oil)
Yes, I agree to contact my GP should I have medical concerns about joining baby massage
Yes, I agree to Pumpkin & Pickle GDPR, who will not share my personal details with any other organisations (other than The Well Retreat).
I commit to adhering to COVID-19 policies including wearing of mask, hand sanitise, QR code scan upon arrival at venue, and isolating should symptoms arise
I would like to receive Pumpkin & Pickle newsletter
No, I do not agree to the above policies.
Full Payment of £52 will secure my place - please message Amy
to confirm space before payment (or FB/Inst DM)
Yes - PayPal
Yes - Bank Transfer (message Amy for details)
No, only want to register interest
How did you hear about Pumpkin & Pickle?
Word of mouth, recommend by another mum
The Well Retreat
Toddle About magazine (online)
Pumpkin & Pickle looks forward to welcoming you to our group. The only baby massage group in Brackley, creating a safe and supportive place for new parents to learn baby massage techniques and build new relationships in the local community. Check out the Facebook page to read local mums reviews of our groups so far.
or search for me on Google.
A copy of your responses will be emailed to the address you provided.
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