Book a course: Thursdays 3:30pm Walkers-5 year olds

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Thanks for your interest in Kids Yoga Rangiora. I love sharing the tools of yoga with children to focus their busy brains, stretch and strengthen their growing bodies and expand their eager hearts!

These classes run 3:30-4pm Thursdays for the first 5 weeks in Term 3 (5 sessions from 23 July to 20 August).
It is hosted at 5B Kingsford Smith Drive, Rangiora
The course fee is $35 for a parent and child. Once this form is completed you'll receive an email with details for bank transfer. Places in the course are secured once payment is received.

Child profile

Child's name *

Child's age *

Child's gender

Male

Female

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Please share your child's interests, such as favourite hobbies, sports, books, movies, characters. *

Please list all known allergies, medical conditions, injuries, physical limitations or concerns

Please share with me any goals you have for your child's physical, mental, emotional or spiritual wellbeing

What experience do you and/or your child have with yoga? (none is required!)

Questions and comments

How did you discover Kids Yoga Rangiora? *

Facebook

School newsletter

Poster (please add where you saw it in other)

Newspaper

Word of mouth

Other:

Contact info

Your full name *

Phone number *

E-mail *

Waiver

Please convey the following information to your child: Asana (yoga posture) means posture easily held. If it’s too hard or if it hurts, you can stop! You may rest at any time during the class. It is important in yoga that you listen to your body, and respect its limits on any given day.

I, the parent or guardian, understand that yoga is not a substitute for medical attention, examination, diagnosis or treatment. In the case where my child has an injury, medical diagnosis, or anything else that may be affected by physical activity, I have consulted with a physician to ensure my child can take yoga classes. I recognize it is my responsibility to notify the instructor of any serious illness or injury before every yoga class. I understand that the instructor - Jasmine Gow is not liable for any injury or damages to person or property resulting from the taking of the class. *

I agree

Required

I, the parent or guardian, give permission for Jasmine Gow to take photos or videos of my child during class to be used in the following ways (tick all that apply) *

Individual photos in public updates and promotional material (social media, website, fliers)

As part of a group photo in public updates and promotional material (social media, website, fliers)

Inclusion in newsletters to all parents signed up to the course

Sent privately to me - the parent

Required

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