Booking Form for Mother & Toddler SMART Class
(Stretch, Move & Relax Together)
SMART CLASS for toddlers and Parents / Carers:
Stretch, Move and Relax Together – a continuation of the baby yoga approach for mobile babies and
toddlers. Using songs and rhymes alongside plenty of movement and stretching, this class is designed to
support the transition from babyhood to independent movement.
An opportunity for parents to exercise and have fun with their children, promoting strength, flexibility,
balance and relaxation to contrast with energetic activity.
Phone number: Mobile number:
Child’s date of birth:
Child’s name: Male/Female
Emergency contact name & telephone number:
(in case ill in class)
The cost is £27 for a 6 week course.
The full amount must be paid in advance.
Please make cheques payable to Samantha Dalton
I confirm I have read the Terms and Conditions Yes/No
I agree to respect the confidentiality of other members in the class.
I understand that neither Flutterbabies nor Birthlight will not be liable for any loss, damage or
injury which may occur whilst I am attending classes.
I agree to inform the teacher of any change in the medical condition of my child or myself at the
start of any session. (You will be asked to complete a confidential medical form before the first
I enclose payment of __________________
Where did you hear about the class?
Samantha Dalton tel: 01937 558500 / 07768 538527 www.flutterbabies.co.uk