Yoga Summer Camp

Caregiver & ME Yoga Kids Registration Form

Caregiver Name

Parent Name (if different from above caregiver)

Child's Name (First and Last)

Additional Child (children's names)

Grade child will start in the fall (list them in the same order as the children are listed above (e.g., K, 4, 2)

Parent Address

Parent Phone

Allergies? (list by participant name)(Required)

Behavioral issues or special concerns we should be aware of? (list by participant name)(Required)

Pricing

First Child - $100.00

Second Child - $50.00

Third Child - $50.00

Fourth Child - $50.00