Peaceful Heart Yoga Summer Camp Registration
Summer of 2023

Each camp will focus on yoga and mindfulness in fun, age-appropriate ways.

Both camps will be centered around physical, emotional, social and energetic health through yoga and mindfulness.  Read all about all of the avenues I use HERE and read about summer camps in general HERE.   

The camps will be held at the Peaceful Heart Yoga studio:  725 W. Alder St.  Please note: this is different than last summer when we were at the church location on 34th street.  

Each afternoon, we will walk to the nearby splash pad at Lowell School, or play in the park across the street from us.  

Each camp will have at least one "Forest Day" each week, most likely in the Rattlesnake as we've done in the past where we do yoga in the shade of the trees, play in the creek, build some fairy homes, and listen to the forest with our hearts:  a reset for our busy nervous systems.  

Two week-long options, M-F 9am - 3pm
  •  July 17 - 21:  Ages 4 - 7
  •  July 10 - 14:  Ages 6 - 10  
I may open up another week or partial week during the 2 other weeks in July. 

Age considerations:  
  • Ages are approximate, get in touch with any questions. 
  • If you enroll a 9 or 10 year old, PLEASE only do so if your child is wanting to join the camp
  • 4 year- olds are allowed if they have completed a year of preschool the year before
Cost:
  • Self determined sliding fee scale of $215 - $285 for the week
  • $50 non-refundable deposit due with this form
  • Remainder of balance due 2 weeks prior to the camp starting
  • $25 discount off of a second camp or for a sibling's camp week

** PLEASE NOTE:  I will email you after you submit this form to let you know if we have space **  Wait to submit payment until you receive my email. 


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Email *
Child's Name *
Child's date of birth *
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Age your child will be at the camp *
What grade will your child be GOING INTO in the fall of 2023?  What school do they attend?  *
Second Child's Name
Second Child's date of birth
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Second Child's age
Which camp week(s) are you registering for?   

If registering two children, please indicate in "other" category which camps for which children. 

Age considerations:  
Ages are approximate, get in touch with any questions. 
If you enroll a 9 or 10 year old, PLEASE only do so if your child is wanting to join the camp.
4 year- olds are allowed if they have completed a year of preschool the year before
 *
Required
Parent Name *
Parent phone number *
Second caregiver Name: *
Second caregiver Phone Number: *
Second caregiver Email Address: *
Is your child interested in attending this camp?  What do you and your child look forward to, or hope to gain from, this camp experience?  *
Does your child have any allergies, dietary restrictions or sensitivities?  Medical conditions, recent surgeries or major illnesses?  Disabilities?  Restrictions?  Behavioral or emotional struggles?  Anything else that would help me provide a safe and enjoyable summer camp experience for your child? *
Would you like to receive my newsletter with tips on yoga and mindfulness for kids and parents and to stay  informed about other opportunities for yoga, mindfulness and craniosacral therapy for adults and/or kids?  I send about 3 per month and have no idea how to sell email addresses.  :) *
May Peaceful Heart use pictures of your child on their website, on social media and/or other publications?  We will not use names.  If you have specifications about this, such as no close-ups, no social media, etc, let me know in the "other" box.  *
How did you hear about Peaceful Heart?
Is there anything else you'd like to add or ask about your child or this camp?
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