Mom or Dad Yoga Pop Up registration

after submitting this form, a confirmation message will be sent to your email and you will be redirected to the tuition payment.

If you’re enrolling more than one child please fill out the information of all kids and add to the cart as many programs as the kids that will be attending.

Parent Full Name

Phone

participating parent Full Name (if different from billing information)

Phone

Address

Emergency contact other than parents

Emergency contact phone number

Child Full Name

Child Date of Birth

Child’s age

allergies

Primary doctor

Phone

2nd Child Full Name (if there will be more than one child attending please add two sessions to the cart)

2nd Child Date of Birth

2nd Child’s age

allergies

Primary doctor

Phone

Additional questions, notes or medical conditions

permission to photograph the child and use pictures for social media/marketing

yes no

IMPORTANT: PLEASE READ CAREFULLY ALL THE INFORMATION OFFERED ABOUT THE PROGRAM. THIS INCLUDES: THE TUITION, THE ENROLLMENT AND PAYMENT PROCESS .

PLEASE READ CAREFULLY AND ACCEPT THE TERMS: I state that I have read, understood and accept the terms and condition of Fasttrack-Languages. * Tuition is subject to change. Please check rates at the time of enrollment. * A 60 days' un-enrollment notice is required for all students. NO EXCEPTIONS. * Enrollment/Application forms for the program your child will be attending are required before each child's enrollment is completed or starting date. * Our school offers placement all year round as a rolling admission's school. * The Fasttrack-Languages center is well childproofed and the children are consistently well supervised. However, accidents do happen. The undersigned(s) assume(s) all risk of injury to the child associated with participation in any program that our school offers.