You are registering for Kids Pajama Yoga (Friday, May 16th)

Registration Form created by Alissia McCann

Note/Comment icon Pajama Yoga for Kids ages 5 to 12. *6:30 to 8:32 pm* PLEASE NOTE THE CHANGE IN TIME ***Drop the Kids for some yoga fun and head into Media to enjoy an early dinner or a couple of hours of quiet time. We will be in the Community Center adjoining Borough Hall in Media. $10 for 2 hours.

Registration ensures your spot and allows us to see how many kids we will have. You must provide an email address or phone number to register. If I need to contact you for any reason, including change of venue etc., I need that contact info. Those who do not provide an email address or phone number will be unregistered. If you register and then find you are not able to attend, you may undo your registration on this form until May 14th, which is the Wed. before the class. PLEASE be courteous and contact me if you have registered and cannot attend. Other children can then register and take part in the class.

You must fill out a different registration form for each child who is attending. If you have any questions or concerns email or call me at alissia@yogawithalissia.com or 484-478-1689.

Child's First Name*
Child's Last Name*
Parent's Name*
Email Address*
Phone Number
If you answered yes to the food allergies please divulge the allergy
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