Infant massage registration form
Use this form to sign up to a baby massage course with Sarah at Birthworx. Once your registration has been sent, you will receive an invoice which needs to be paid before the first class. Payment plans can be arranged.*

Sarah is a certified International Association of Infant Massage (IAIM) instructor. Each course has 5 sessions although some courses spread across 6 weeks depending on school/public holidays etc.

If you know you are unable to make one of the dates in your preferred location, I can usually accomodate you in another location - if the date works for you! Just ask.

2025 Course Dates:

Rimu Chiropractic, Raumati (10am - 11.15am)
Next dates TBA! Check social media - but you can register any time if you know you would like to join a course in future.

Course cost = $125

Bloom Family Chiropractic clinic, Discovery Drive shops, Whitby (12.45pm - 2pm) 
Next dates TBA! Check social media - but you can register any time if you know you would like to join a course in future.

Course cost = $130

Find out more about the incredible benefits of nurturing touch at www.birthworx.org

*If you cancel your place 4 weeks or more before the course starts, you will get a full refund. If you cancel within 4 weeks of the course starting, you will only get a 50% refund.


Sign in to Google to save your progress. Learn more
Full name of parent/carer *
Contact email address *
Contact phone number *
Course location choice *
Age of baby/babies (weeks or months) *
Name of baby or babies *
Any dietary requirements? (For refreshments provided during class) *
Course payment is required upfront to secure your place on the course. *
How did you hear about the course? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Birthworx.

Does this form look suspicious? Report

Google Forms