Baby Yoga Registration Form

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Name *

Address *

Phone Number *

Email Address *

Baby's Name *

Baby's Date of Birth *

YYYY

In Case of an emergency please call *

Emergency Number *

Are you or your baby on medication that I should be aware of? *

Do you or your baby have any medical needs I should be aware of? *

Any further information you would like to make me aware of? *

I take full responsibility over the health of my baby and myself in the yoga session and should there be any medical changes I will consult my yoga teacher. Sign below. *

Date *

YYYY

Submit

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