Mind Over Matter Yoga - Tuesday Class expression of interest
Thank you for your interest in our children's yoga classes. Please complete the form below for our information.
We will not share the information on this form with anyone else and all information will be kept confidential.

We are looking at running an additional children's yoga class on Tuesdays, term time only. 4-5 pm at The St Chad's Centre in Bishops Tachbrook. Please fill out the information below to express your interest in this class & we will be in touch.

The cost of the block of classes is unchanged at £32.50 per child.

Many Thanks,

Name and gender of child attending *
Your answer
Date Of Birth and age of Child *
Your answer
Address *
Your answer
Parents Contact Information
Your name *
Your answer
Phone number *
Your answer
E-mail *
Your answer
Emergency Contact - (not yourself) name and phone number please. *
Your answer
Does your child have any allergies or medical conditions? If yes, please specify and include any medication required. *
Your answer
Please tell us here if there's anything specific you'd like us to know about your child.
Your answer
From time to time we might take a photo for use on our social media or on promotional material. This might not be often as our focus will be on the class of course. Are you happy for your child to be in any such photo? *
Please tick below to confirm that you will stay on site during the class. *
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