Inspire Mindfulness Programme at Tamahere Model Country School
Thank you for choosing to register your child for the Inspire Mindfulness Programme. Mindfulness classes are a great chance for your child to be taught about their brain and the awesome things that take place inside it! They will learn how to take care of their hauora/well-being and learn strategies to help them become more mindful and resilient.
 
This innovative science-based programme is the brain child of the Inspire Mindfulness Programme Director, Rachel MacAllister – who is a qualified teacher.  Your child will be led through 9 sessions which will help them to develop their very own superpower: Mindfulness.

Sessions will be held at Tamahere Model Country School on Wednesdays 1:45-2:30pm. The cost of the programme is $18 per session, plus $5 for their mindfulness booklet.

It is essential to book early due to limited numbers.

Once the form and payment are complete, your child will be registered onto the programme. If payment is not received within 48 hours of the form being received, the booking space will be released. Please note that any cancellations within 14 days of the course starting are non-refundable and fully chargeable.

If you have any questions, please email Rachel MacAllister at inspiremindfulnessnz@gmail.com
Sign in to Google to save your progress. Learn more
Email *
Child's Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Which class is your child in? *
Doctor's Name and Phone Number *
Doctor's Address (in case of emergency) *
Parent/Caregiver Name *
Parent/Caregiver Email Address *
Parent/Caregiver Contact Phone Number *
Residential Address *
Emergency Contact (Name & Phone Number), if we are unable to contact you in an emergency *
What would you like your child to achieve from attending these sessions? *
What are your child's current interests? *
Is your child suffering from or have they suffered from any physical ill health that I need to be aware of? *
If yes, please give further detail
Does your child have any anxiety/stress/depression? This is very useful to know, even if it is mild or linked to one element of their life - school, friendships etc *
If yes, please give further information
Does your child have any food allergies? (There will be times where your child eats food as we practice mindful eating. By registering your child, you agree to this, unless stated otherwise) *
If yes, please give further information
Does your child have any previous experience of mindfulness? If yes, please could you detail their experience below
Is there anything else you think we need to know?
Do you give permission for us to take photos of your child? (These may be used on the Inspire Mindfulness Facebook page, future website etc. It also gives you the opportunity to see what your child is doing.) *
Thank you for your booking. Please check your emails for your invoice soon.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Cambridge East Primary School. Report Abuse