Baby Massage Course registration

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Thank you for registering to attend Pumpkin Pickle Baby Massage four week course. Each week we meet in small groups to learn baby massage, and equally important, discussion on weekly challenges and achievements. Please fill out these quick questions to complete registration. P&P will come back to you to guarantee your space (please add pumpkinpicklebaby@gmail.com to your contacts to avoid me ending up in your junk mail!). Small groups allow for group interaction and maintain a little distance. Please ensure that you contact me if there are any changes, particularly feeling poorly, health concerns, or allergies (you or baby) as I will be baking for the group every week & I like to ensure no-one is left out! I look forward to meet you soon!

Pumpkin Pickle Baby Massage

Email *

Full Name of Parent *

Mobile number (used for reminders & whats app group) *

City/Town & county (our class venue is at The Well Retreat - click here for google maps https://goo.gl/maps/J3Cn1GfDvn4gtwry7) *

Brackley

Buckingham

Deddington

Banbury

Towcester

Bicester

Surrounding village (<5miles) - please state below

Other:

Feeding

Breastfeeding

Bottle feeding

Combination feeding

Clear selection

Which course are you registering for? (subject to change)

If the baby massage course you are looking to book is full, why not just explore my TummyTime PlayTime course instead: https://forms.gle/jNn8K95EUNxwx72V8

Tues 14th May ‘24 9.30-11 (last class 18th June - no classes 28th May or 4th June) The Well Retreat,Brackley

Thur 6th Jun ‘24 10-11.15 (last class 27th Jun) DEDDINGTON

Tues 25th June ‘24 9.30-11 (last class 16th July), The Well Retreat, Brackley

Option 4

Other:

Baby's details: Baby birthday (add due date if pregnant & registering interest).

Baby's details: Full Name

Mum & Baby health (please share details relevant to baby massage e.g. health conditions, difficult birth, premature, hip dysplasia, plagiocephaly, colic, constipation - or the reason you want to join baby massage in Brackley). *

Is this your first baby? *

Yes

Dietary restrictions/allergies for YOU or Baby: *

None

Vegan

Gluten-free

Dairy-free

Soya-allergy

Nut-allergy

Other:

Required

I confirm that I have read the following online policies and guidance. *

www.pumpkinpicklebaby.com

Yes, I confirm I have read the disclaimer/policies online

Yes, I confirm that my details may be shared with The Well Retreat if necessary (provider of baby massage oil)

Yes, I agree to contact my GP should I have medical concerns about joining baby massage

Yes, I agree to Pumpkin & Pickle GDPR, who will not share my personal details with any other organisations (other than The Well Retreat).

No, I do not agree to the above policies.

Required

Full Payment £55 will secure my place - please message Amy pumpkinpicklebaby@gmail.com to confirm space before payment (or FB/Inst DM) *

monzo.com/pay/r/pumpkin-pickle_k0hLCr6aqxSARO

No, only want to register interest

Required

How did you hear about Pumpkin & Pickle? *

Word of mouth, recommend by another mum

Facebook groups

Instagram

Google search

The Well Retreat - Brackley

Wellness at New Street - Deddington

Toddle About magazine (online)

Tik Tok

Other:

Required

Pumpkin & Pickle looks forward to welcoming you to our baby massage group; creating a safe and supportive place for new parents to learn baby massage techniques and build new relationships in the local community. Check out my Facebook page, or Google, to read local mums reviews of our groups.

www.facebook.com/PumpkinPickle .

A copy of your responses will be emailed to the address you provided.

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