Registration Form

Please fill out the registration form below

Child’s Full Name: (Required) *

Age: (Required) *

Date of Birth: (Required) *

Gender: (Required) *

Please list all known allergies, physical limitations, concerns and goals:

Parent/Guardian Full Name: (Required) *

Mobile: (Required) *

Home:

Work:

Email: (Required) *

Emergency Contact Name: (Required) *

Emergency Contact Number: (Required) *

Address: (Required) *

Which school or studio does your child attend?

Phone

We are children’s Yoga teachers and our company, Blissful Kids, is dedicated to improving the well-being of children.

‘You must be the change you wish to see in the world’
Mahatma Ghandi

Welcome to the magical world of kids' yoga!

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First name

Email address