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BLOSSOM MOM&ME MOVE ON YOGA & MINDFULNESS REGISTRATION FORM
Contact information
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Email
*
Your email
Email (GMAIL preferred, will remain same in all communication with you!)
*
Your answer
Mobile number
*
Your answer
Blossom Nursery Branch
*
Your answer
Mom's full name
*
Your answer
Child's full name
*
Your answer
Child's Date of Birth
*
Your answer
Gender
*
Male
Female
Nationality
*
Your answer
Any pre-existing medical conditions | injuries we should know about?
*
Your answer
Can we use your & your child's image on social media platforms?
Yes
No
Can we use your & your child's image for internal promotional purposes amongst the nursery group?
Yes
No
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