Registration Form for Power To Yu Power Classes
Date of Birth:
Parent's Phone Number:
Name and phone number of caretakers who will be bringing the child for classes?
Power Bolly Tots (3 - 5 yrs) Mondays 4.30 - 5.15 pm
Power Bolly Teens Mondays (Over 13) 6 pm - 6.45 pm
Power Bolly Kids (4 - 6 yrs) Tuesdays 3.45 pm - 4.30 pm
Power Bolly Kids (7 - 10 Yrs) Wednesdays 4.15 pm - 5.00 pm @ One Chatsworth
Power Bolly Boys (3 - 5 yrs) Thursdays 5.45 pm - 6.30 pm @ One Chatsworth
Power Bolly Babies (24 - 36 months) Fridays 3.45 pm - 4.20 pm
Power Bolly Kids (5-8 yrs) Saturdays 11.30 am - 12.15 pm
Power Bolly Teens (12 and above) Saturdays 1.30 pm - 2.15 pm
Power Bolly Kids (10 - 12 yrs) Saturdays 2.30 pm - 3.15 pm
Power Bolly Boys (5 - 8 yrs) Saturdays 3.30 pm - 4.15 pm
Would you be interested in these classes?
Mindfulness Classes Ages 4-6 Fridays 4.30 - 5.00 pm
Mindfulness Classes Ages 7-9 Fridays 5.15 - 5.45 pm
Mindfulness Classes Ages 10-12 Fridays 6.00 - 6.30 pm
Mindfulness Classes Ages 13-15 Fridays 6.45 - 7.30 pm
Yoga Classes Ages 4-7 Thursdays 4.30 - 5.15 pm
Yoga classes Ages 8-11 Thursdays 5.30 - 6.15 pm
Any other classes of your choice. Please specify.
Are there any Medical Conditions or Allergies that PTY and its instructors need to be aware of?
How did you hear about Power Classes at Power To Yu?
Would you like to receive emails from Power To Yu?
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