Cart
0
Home
About
Classes
Events
In the News
Contact
Back
Movement Classes
Infant Massage
Class Schedule (Spring 2025)
Cart
0
Home
Movement for Developing Minds
About
Classes
Movement Classes
Infant Massage
Class Schedule (Spring 2025)
Events
In the News
Contact
Little Feet Registration Form
Caregiver(s) First and Last Name
*
Child/Children's First Name
*
Child/Children's Age at Start of Class
*
Email
*
This is the way we will contact you for any changes in classes or holiday closures and inform you of upcoming classes. Please make sure you add regina@littlefeetmovement.com to your contacts to avoid emails going to spam.
Phone
*
Your phone number will only be used to notify you if something unexpected must be communicated related to class.
(###)
###
####
Which class are you attending?
*
Wed Waddler/Toddler Class
Sat Toddler Class
Sat Baby/Waddler Class
If attending drop in classes, please list the dates that you will be attending.
Additional Information
Is there anything else I should know about you or your child that will help improve your experience in class for e.g. allergies, back issues, special accommodations, noise sensitivity etc?
Discount Code (if any)
Please enter a discount code if you're using one for registration.
How did you hear about Little Feet?
*
Friends
GRKids
Live Unprocessed
Mind, Body, Baby
Facebook
Instagram
Google
Other
If other, please describe below
Photo Waiver
*
The undersigned agrees to release Little Feet, its officers, agents and employees from any and all claims, suits, actions, damages, or compensation in any way related to the use and reproduction on photograph(s) and video(s) taken of me or my child which are used in media publications exclusively for Little Feet.
I agree for me and my child to be photographed
I do NOT want me or my child photographed
Liability Waiver
*
I agree to participate in the Little Feet Movement Program for myself and my child(ren). I am aware that the activities of creative movement involves risk of injury and freely assume those risks for myself and my child(ren). I hereby release Little Feet from any legal liability and agree not to sue its owners, officers, directors, employees, partners, and studio owners for any and all injuries caused by participation in the class.
I have read this waiver and I agree
Illness Protocol & Waiver
Illness Safety Precaution Acknowledgement
I understand that by attending this event, I am at risk of exposure to illnesses and I agree to not hold Little Feet liable for any illnesses contracted at this event.
I will follow the safety guidelines recommended by the CDC.
I will not attend class if I have any symptoms of illnesses (e.g. cough, cold, fever, rash etc).
Thank you!