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,

Nikki
Sign in to Google to save your progress. Learn more
Name and gender of child attending *
Date Of Birth and age of Child *
Address *
Parents Contact Information
Your name *
Phone number *
E-mail *
Emergency Contact - (not yourself) name and phone number please. *
Does your child have any allergies or medical conditions? If yes, please specify and include any medication required. *
Please tell us here if there's anything specific you'd like us to know about your child.
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. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms