Baby-Bond Infant Massage

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					                     Bond with Baby
                            www.bondwithbaby.co.uk




            Baby Massage Course Booking form
Course start date:

Parent/Carer’s name:                    Baby’s name:

Address:                                Baby’s Sex: M/F


                                        Baby’s DOB:
Postcode:                               Approx current wt: ___ Kgs

Home Telephone:
Mobile:
Email:
Full-term/Premature/Low-birth weight/Twins (please circle)

Normal delivery/Assisted delivery/C-Section (please circle)

Does your baby have any known medical conditions/allergies/skin
conditions:


Any further information you think the instructor should be aware of:



How did you hear about the classes?

Course fee - £48.00 payable no later than two weeks in advance of the course
start date. A single fee only is payable for twins.

Cheques should be made payable to Mrs C A Rathmell. Please ask me for
details if you wish to pay by bank credit transfer.

Please send the fee together with your completed Booking form to:
Caroline Rathmell, 16 Beaufort Gardens, Ascot, Berkshire, SL5 8PG.

Your place on the course will be confirmed once payment has been
received.

				
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posted:1/9/2011
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