Mindfulness for children and teens
Are you interested in mindfulness for your child or teenager?
Angie is a certified mindfulness teacher and has been working with young people for more than 10 years. She also offer teacher training in the Method Eline Snel programs.  You can find out more at our website: www.ingredientsofwellness.com

Please complete this inquiry form to help us understand yours and your child's interests and needs.
For individual sessions, Angie will be in contact with you shortly.
For group sessions and courses, your inquiry will be forwarded to our certified mindfulness teachers for reply.

Contact me: angie@ingredientsofwellness.com

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Child Name *
Date of Birth *
MM
/
DD
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YYYY
Gender *
School *
Parent Name *
Parent contact (ph & email) *
What is your interest in introducing your child to mindfulness skills? Provide as much detail as you can to give us some insight into yours and the child's needs.
Does your child have any learning needs? If yes please provide details *
Please indicate if your child has any difficulty with the following: *
Required
Please list three (3) strengths, abilities, hobbies or activities that your child enjoys *
What type of program are you interested in for your child? *
Is there anything else we need to know about your child? *
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