Forms

Baby Massage Class Booking Form

Course Preparation:

Please tie long hair back
Please remove jewellery or tape rings
The room will be warm so please wear comfortable and removable layers
Please bring a blanket or towel from home with a familiar smell to Baby
Please feel free to bring a small cushion to sit on
Please don’t bring your own oil as other oils can cause reactions to your baby or someone else’s baby in the class.

Safety Guidelines:

We 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 baby.
If your baby is unwell, it is best not to attend the 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.
We recommend to leave 48 hours after your baby’s immunisations before massaging.
Massage Oil is provided, this is the best oil for baby massage as it is taste free, smell free and 100% natural. It is also SLS free, parabens free, lanolin free and mineral oil free.

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 Sensory Learning & Play C.I.C., I look forward to seeing you soon

Parent/Carer Name (in full)

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Telephone Contact - Day, Evening, Mobile

(###)

###

####

Baby's Name

First Name

Last Name

Baby's Gender

Baby's Date of Birth

Number of weeks your baby was delivered at

Does your baby have any health issues? If none please state -n one

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

Do you have any mobility issues? If none please state - none

Do you have any back pain or find it difficult to sit for extended periods of time? If none please state - none

Did you have a caesarean?

Yes

Will you be pregnant at the time of the course?

Yes

Are they any cultural factors that need to be considered?

Do you have any allergies?

Have you got any experience of Baby Massage?

Course Details

Term Starting Month Preferred Course Type Preferred Course Venue Preferred Course Day

How did you hear about Sensory Learning & Play C.I.C.?

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. • I take full responsibility for myself and my baby, and for everything that happens to me and my baby in relation to the class. • If I have any concerns, I will seek the advice of my medical professional before proceeding with the classes. • I will keep the Instructor informed of any health issues that arise over the course of the classes, both for me and my baby. • I have been offered an Oil Patch Test

Agree

Disagree

General Data Protection Regulation (GDPR) GDPR (Effective from 25-5-18) is the most significant legislation regarding privacy and data protection in 20 years, and it is necessary to ensure that we gain new data protection and privacy consent from all Lullaby Lucy customers. Please review the statement below and check the box to agree to have your data process in this manner. Customer Data is processed in the following ways

• Customer information that is provided will be stored for a period of 5 years. • Only yours and your baby’s names are printed for the weekly registers and other relevant documents, the rest of your details are never printed out. • Customer information that is held electronically is done so upon a secure storage with password protected access. • Customers may be contacted via email or text message with details of the future classes. Please inform Sensory Learning & Play C.I.C. if you do not want to be contacted in the future. • Customer data will never be shared with any third party for marketing purposes. • Customers can request copies of the data Sensory Learning & Play C.I.C. holds about them at any time. • Customers may withdraw consent in the future regarding the way in which their data is stored and used.

Agree

Disagree

Date

YYYY

Forms

Baby Massage Class Booking Form

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