Kids Workshop Registration

	YOUR CONTACT DETAILS

	First Name*

	Surname*

	Email Address*

	Contact Phone Number*

	Which workshop/s are you booking?* Please list all the workshops and dates that you wish your child to attend

	CHILDREN'S DETAILS* Name, Age and Gender of each Child attending

	Describe any allergies or current illness patterns that your child has, and any medications your child is taking for those

	Are there any foods that your should not eat? Please describe

	Does your child have a fear of, or allergy to, Dogs or Cats? Please describe

	Is there anything else you’d like me to know about your child?

	Would you like to receive the Aquarian Blessings FREE Newsletter?* The Aquarian Blessings Newsletter is issued 6 times a year, by email, in pdf format. It contains lots of interesting articles & information about the ways in which we can create great health and a wonderful life. It will also keep you informed about future special offers, discounts, upcoming workshops and other healing & self-empowerment activities… please answer Yes or No

YOUR CONTACT DETAILS