I am interested in enrolling my child(ren) in the following class(es):
Infant Yoga Play With Massage Therapy Instruction
(GROUP CLASSES - 6 to 8 Infants/Parents per class)
___ Tuesday mornings 10:15-11:30 am
___ Infant care available at Blueberry Ledge. Call in advance to make arrangements!
Preschool Yoga Play
(GROUP CLASSES - 6-8 Preschoolers per class)
___ Wednesday mornings 10:15-11:30 am
___ Thursday afternoons 2:30-3:45 pm
Yoga Plus (Preschool Yoga Including Childcare)
___ Wednesday mornings 9:00-noon
___ Thursday afternoons 1:30-4:30 pm
Blueberry Ledge Holistic Arts
119 Highlands Farm Road, Yarmouth, Maine 04096
REGISTRATION FORM
2013
Child's Name_____________________________
M____F____Birthdate_____________________
Address ________________________________
State ___________ Zip Code _______________
Home Telephone __________________________
Mother's Name __________________________
Email Address ____________________________
Cell Phone _______________________________
Father's Name __________________________
Email Address ____________________________
Cell Phone _______________________________
I am interested in enrolling my child in Blueberry Ledge Childcare:
___ Thursday mornings 9-11:15 am
I would like to register my children for the session(s) beginning:
___ January
___ February
___ March
___ April
___ May
___ June
___ July
___ August
___ September
___ October
___ November
___ December
___ I would like to register my child as "Drop In" and will call 24 hours before the class to determine if there is space.
Please share any information you feel would be helpful to me in working with your child:
Blueberry Ledge offers Infant Yoga Play & Massage Therapy Instruction and Preschool Yoga Play. Classes are Tuesdays, Wednesdays and Thursdays. Sessions begin the first of each month and spaces are filled on a first come, first served basis. Class size is limited to 6-8 infants with parents/caregivers, or 6-8 preschoolers.
For ease of continuity, our monthly fee for an individual class is $60. A registration fee of $15 should accompany this application and will be applied to your balance upon the start of your desired session. If the session is full, you will be placed on the waiting list and your fee can be applied to a future session or can be returned.
Please copy, print, and fill out the above 2013 Registration Form for Infant Yoga Play or Preschool Yoga and mail to Blueberry Ledge Holistic Arts c/o Sue Leonard, 119 Highlands Farm Road, Yarmouth, ME 04096 or call Sue at 207-653-3824 to request a form be sent to you. You may also email Sue at blueberryledge@maine.rr.com Thank you!
