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Book Online: Baby Yoga and Massage

Instructor:    Paula Proctor  

Course Details:
Course:
If booking a Group Baby Massage session only, please select a date and location below:
(Baby Yoga is currently only held at Pontefract Squash Club and One-to-One is at your own home)
Massage Day and Venue:


Parent's Details:
Parent/Carers Name:
Address:
Telephone (home or mobile):
E-mail:


Emergency Contact Details:
Name of Emergency Contact:
Phone number:


Baby 1 Details: Baby 2 Details:
Baby’s Name: Baby’s Name:
Baby’s Date of Birth: Baby’s Date of Birth:
Baby's Gender: Baby's Gender:


Medical Details:
Have you and your baby had your 6 week postnatal check up?
Did your medical professional have any concerns?
If Yes, please give full details:
Will the baby have immunizations within 24 hours of a baby massage session?
Do you or the baby have any allergies?    
If Yes, please give full details:
Is there anything about the birth of your baby or how you experienced the birth, that might be useful to know?   
If Yes, please give full details:
Does your baby have any health conditions (i.e. colic, clicky hips, reflux etc.)?  
If Yes, please give full details:
How did you hear about the course?
Is there anything else you think I need to know? If Yes, please give full details:


Photograph Authorisation
I hearby give my permission for Paula Proctor to take photographs in the sessions and authorise the use of photographs for the following. (Please select options below):
Displays and Notice Boards
Marketing, e.g. Leaflets, Posters, etc.
Facebook page of Forever Loving Babies
Forever Loving Babies website


Safety guidelines

Please read these guidelines carefully before you attend your first class.

Parents work with their own baby.

When practicing with your baby, never rush or force anything. If you feel stressed or tense, just take a break and come back to the practice later. Always ensure that you feel safe, secure and confident with the way you are holding or working with your baby. Never do anything that you do not feel comfortable with.

If your baby is unwell, it is best not to attend the yoga or massage class. If your baby is crying excessively and cannot be comforted, he/she may be ill. Never practice on a distressed baby, or if your baby is limp, pale, has a temperature, or any difficulties breathing. Please seek appropriate medical help.

It is not recommended to practice within 24 hours of your baby’s immunisations.  If you feel your baby is well and does not have a temperature after the immunisations you may attend the session, but you must avoid the injected area.

Disclaimer / Terms and Conditions

Please read and tick the box to say that you agree to the following disclaimer.

  • I have read the above safety guidelines and will ensure that I adhere to them.
  • I take full responsibility for myself and my baby, and for everything that happens to me and my baby in relation to the Baby Yoga or Massage class.
  • If I have any doubts, I will seek the advice of my medical professional before proceeding with Baby Yoga or Massage classes.
  • I will keep Paula Proctor the Instructor informed of any health issues that arise over the course of the classes, for both me and my baby.
  • Once booking form has been received, I will send you an invoice and confirm your place on the course. 
  • In the event that the course is fully booked an alternative course will be offered. If the alternative course is not suitable a refund will be made.
  • Payment to be made upon receipt of the Invoice as per Payment Terms quoted.
  • None payment of the Invoice prior to the course may result in the loss of your place on the course
  • In the event that the course is fully booked an alternative course will be offered. If the alternative course is not suitable a refund will be made.
  • I understand that refunds are not possible for missed classes/courses

Thank you for completing this form. The information you give is confidential.

I have read and agree with the disclaimer / terms and conditions

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