Bond with Baby
Baby Massage Course Booking form
Course start date:
Parent/Carer’s name: Baby’s name:
Address: Baby’s Sex: M/F
Postcode: Approx current wt: ___ Kgs
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
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