Yogi Tots at Fairmount Community Library Sign Up

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Tuesdays in April at 10 AM, sponsored by The First Milestones.

Free for toddlers and caregivers! Walkers to age 4 are welcome!

Wear comfy clothes and bring a water. Mats will be available to borrow or you can bring your own.

Registration is required. Sign up for one or more sessions below. We can't wait to see you!

Email *

Which Yogi Tots sessions would you like to attend? (select as many as you'd like) *

Tuesday, April 2 at 10 AM

Tuesday, April 9 at 10 AM

Tuesday, April 16 at 10 AM

Tuesday, April 23 at 10 AM

Required

Do you need to borrow a mat?

Yes, Please!

No, Thank you, I have my own or will purchase a mat for myself.

Clear selection

Parent First Name *

Parent Last Name *

Phone Number *

Toddler's Name(s) & Age(s) *

Emergency Contact Name *

Emergency Contact Phone
*

All participants must read and agree to each of the below statements in order to participate: *

Check here to agree with the required Acknowledgement of Liability and Authorization for Medical Attention: I understand that there may be some risk of injury associated with participation whether inside, outdoors, or online; I further understand there is potential risk of contracting a communicable disease, including but not limited to COVID-19, while participating in Yogi Squad activities and I agree to wave any and all claims of liability, release and hold harmless Yogi Squad and its partners, in the event that such injury or contracting a communicable disease may occur to me or my child. In the event of an accident or injury, when parent, legal guardian or emergency contact are not available, I give permission for Yogi Squad to procure medical attention.

Check here to agree with our Photo Disclaimer & Social Media Disclaimer: "I hereby give YOGI SQUAD permission to use my and/or my child's photos in any manner (excluding pornographic or defamatory), which may include, but is not limited to, social networking web sites, YouTube, Facebook, Instagram or the Yogi Squad website. I agree that the photos may be combined with other video, text and/or graphics, and may be modified, altered or cropped. I acknowledge and agree that I have no rights to the photos and that all rights to the photos belong to Yogi Squad. I represent and warrant that I am at least eighteen (18) years of age and have the full legal capacity to execute this Release or, if the Participant is a minor child, that I am the legal parent or guardian of the minor child Participant and have the full legal capacity to execute this Release."

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Yogi Squad.

Does this form look suspicious? Report

Forms