Children's Yoga Registration Form

1. Home
2. Children's Yoga Registration Form

Please complete the form below to register for your Lullaby Lucy class.

Contact Details

Parent / Carer Name:

Address

Contact Number

Email

Emergency Contact Details

Name:

Relationship:

Contact Number:

About Your Child

Child’s Name

Child’s Date of Birth

Does your child have any health issues? If none please state - None

Is your child on medication? Please Select No Yes

If so: Please give details:

Does your child have any health issues? If none please state - None

Does your child have any allergies that you know about? If none please state - None

Are they any cultural factors that need to be considered?

Any other information that we need to be aware of (emotional, behavioural, learning difficulties, additional needs etc.):

Course Details:

Select Course Select Course Date Register Interest

How did you hear about Lullaby Lucy?

Please Read the following disclaimer and tick to the box to agree.

• I have read the safety guidelines and policies below and will ensure that I adhere to them.
• Authorisation for treatment: I agree that the above information is correct and I hereby give permission for my child to receive emergency medical treatment or First Aid in the event of staff being unable to contact me

I agree to the above disclaimer.

---

Safety Guidelines:

• Lullaby Lucy will not ever diagnose a medical condition and you should always seek advice from a medical professional if you are concerned about you or your child.
• If your child is unwell, it is best not to attend the class.

Payments and Cancellations:

Payment:

Full Payment is required at time of booking. Spaces are limited on all of the courses, therefore please check availability before sending in payment. Payment is preferred via electronic bank transfer – Payment details will be emailed to you on receipt of your completed registration form. Once payment has been made your place on the course is secure.

Cancellations:

We reserve the right to cancel a course if there is a problem with the venue or the class size. In the event of cancellation, your course fee will be returned and will endeavour to offer you an opportunity to attend another course. If you wish to cancel your place before the course starts, you must give 21 days’ notice before the start date.

We are sorry but we cannot offer a refund for a missed class.

If we have to cancel a class, we will offer a pro rata refund for the cancel class(es) or replace the class at another time.

Social Media Policy

In order to ensure that everyone feels comfortable during the class, we ask that you adhere to the statements set out in this policy.

• Refrain from divulging any information about other children and parents within the class without permission from those involved
• Ensure that photographs or materials published on social networking sites do not identify other children or parents without permission from those involved

Thank you for choosing Lullaby Lucy, I look forward to seeing you soon x