Crawlers To Cruisers Wednesday 3rd June At 12pm For 4 Weeks

The Nurture Hub - Crawlers To Cruisers Class Intake Form

Wednesday 3rd June At 12pm @The Nurture Hub for 4 weeks
Parent's Name:

First NameLast Name
Baby's Name:

First NameLast Name
Baby's Date Of Birth:

DayMonthYear
Date
Mobile Number:

Area CodePhone Number
Email Address:
example@example.com
Does your baby have any health concerns, diagnosis or undergoing any medical investigations? If yes, please provide details below.
Has your baby had a satisfactory hip check? (Usually completed by GP at 8 week appointment) If No, please provide details below.
Do either you or your baby have any allergies which need to be taken into consideration?

Do you, the parent have any medical conditions or special considerations that I may need to be aware of in order to ensure you can safely access all elements of the class? For example: Difficulty managing stairs/ light stretching/ gentle yoga poses
Please provide any further details which you believe may be relevant:
Do you give permission for photos to be taken of you and your child and used in social media/advertising/website?
Do you give permission to be added to a Whatsapp group to share group information?
Terms and Conditions:

Medical Disclaimer: The information provided in the sessions is not medical advice. It is not intended to act as a substitute for professional medical advice. The Massage routine included in the baby warm up and the yoga poses/ gentle stretching is intended for use with healthy children without a diagnosed health condition. If your child has a diagnosed or suspected medical condition please obtain the consent of your health professional before commencing on this programme. Always seek the advice of your GP or Health Visitor with any questions you may have in relation to the health of your baby.

Legal Notice: Although all reasonable attempts have been made to ensure the information provided is accurate, The Nurture Hub does not assume responsibility for errors or ommissions. Reliance on any advice offered by The Nurture Hub is soley at your own risk.

Refund Policy: Refunds are not possible once this form is submitted.

Copyright Notice: All the information provided to you is subject to copyright protection. This includes but is not limited to the massage routine, yoga routine and weekly handouts. It may be reproduced, republished or transmitted in any form without the express permission of The Nurture Hub.

Sickness Policy: Please do not attend group if you or your child/children have a high temperature or have had vomiting/diarrhoea in the 24hrs previous.
I have read and agree to the terms and conditions;

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Crawlers To Cruisers 4 Week Block

Date: Starting Wednesday 3rd June for 4 Weeks

Time: 12pm

£50.00 Quantity
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I cannot wait to meet you and your baby/babies, Thank you for supporting me.

Fiona

xx
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The Nurture Hub - Crawlers To Cruisers Class Intake Form

My Products

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