Sleep, Settle and Soothe Program

Please complete the form below to join our Sleep, Settle and Soothe Program.

Please note that we cannot book a place on the program until payment is received and payments can be made by Cheque or PayPal.

Once you complete the form below you will be taken to a page when you can pay via Paypal. If you wish to pay by cheque, I’ll send you further details once the form below is complete.




    Your Name (required)

    Your Email (required)

    Your Address (required)

    Your Home Phone Number (required)

    Your Mobile Number (required)

    The Date of Course You'd Like to Attend (required)

    How will you pay? Paypal or Cheque? (required)

    Your Baby's Name (required)

    Your Baby's DOB (required)

    Any allergies or medical conditions I should be aware of?

    How did you hear about the course?

    Do you have any specific reasons for attending the course?

    I've set up a "whats app" group for general information of your classes if you want to opt out please state below:



    Terms and Conditions


    The full amount is payable at the time of booking a course, program or workshop to guarantee a place.
    Consent forms must be filled out by parents/ carers attending any massage course ( at the beginning of the course) It is the responsibility of the Parent/ carer to inform the instructor of any changes to the consent form on a weekly basis.


    If you cancel a pre-booked course of workshop giving 2 or more weeks notice of the start of the course or workshop a full refund will be given. Withdrawing during a course is classes as a cancellation.
    Refunds/ Discounts are not given for sessions missed within a course but I will do my best to offer a catch up on another course for the weeks missed but this is not guaranteed.

    I reserve the right to cancel a course/ workshop if there is a problem with the venue of class size. In the event of cancellation a full refund will be given.


    Only with your written permission. Will photographs of the classes be used for advertising.
    Parents are permitted to take photographs of their child but only their child during classes.


    Your contact information and family details will not be shared with any third parties.
    I reserve the right to update fees and terms and conditions in the future.

    I have read and agreed with the terms and conditions

    Signed Dated

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