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Bookings

Mums and Bubs Yoga


Please fill in the form below to book your place in any of the Mums and Bubs Yoga courses.

The information you give here is confidential and will not be shared with anyone.

Payment information is provided at the bottom of the form. Your booking will only be confirmed once you have made payment for the course.


Course Dates

Please select your course.

       

Wednesdays, 12:30 - 1:30pm

6 June - 11 July 2018

George Burnett Leisure Centre

18 July - 22 Aug 2018

Manning Road, Manning

 

...with more courses coming.

     

Your Details

First Name:

Surname:

Mobile:

   

Email:

Suburb:

   

Babies Details

 

First Name:

Surname:

How old will your baby be when you start the course?

 

Other

How did you find out about Barefoot Babes Yoga?

Google search

Leisure Centre

TheBump WA

Child Health Nurse

Friend

 

Other:


Do you have any health conditions or had any complications with your birth that may affect your yoga practise?
The information you give here ensures the highest level of safety and care can be met in each class.

No

Yes

 

Cesarean

 

Episiotomy/Tearing

Blood pressure high/low

Other

Details:


I accept responsibility for informing Barefoot Babes about any changes to my health that may affect my yoga practise. (Please tick this box to accept.)

 

Payment Details

Direct Bank Deposit - online or at a bank branch.

 

Amount:
Bank:
Account Name:
BSB:
Account Number:
Narration:

$120
BankWest
Hana Priest
306-042
0635940
your name

 

Comments:

 

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