Enrolment Form

Click on the program you are interested in. *

The NurtureMe Baby Massage & More Program

* Indicates required field

Mothers Name *

First

Last

Partners Name *

First

Last

Baby's Name *

First

Last

Due date or Date of Birth *

Any Medical Conditions? *

Email *

Phone Number *

Suburb *

The Day You Would Prefer to Attend: *

Wednesday 10am group Thursday 10am group Friday 10am group Next available, any are fine

Class Commencement Date Seen on Facebook *

Photo Permission *

Yes, thats totally fine No, I'd rather not Can I chat to you about it first

Questions, Comments or Notes *

DON'T FORGET TO CLICK THE SUBMIT BUTTON

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CLASS PAYMENT:
NurtureMe
5 Week Baby Massage program    $225 Full 5 weeks   1.5 hrs $225 Group face to face classes
Preparing for Breastfeeding           $70      Per couple 2.5 hour, session morning tea provided
Please make the payment using the Paypal button below (paypal will open in a new window) or via direct bank transfer.

Payments can be made via bank transfer to the account below or through Paypal
The Greater Building Society
Account: Nurtureme Massage
BSB: 637 000
Account: 720920476 (Ref: Surname – Baby Massage) or ( Surname - Masterclass)

BABY MASSAGE CLASS INFORMATION GUIDE:
Please download our class welcome information guide.

enrolment_letter_final.pdf
File Size:	846 kb
File Type:	pdf

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Enrolment form