Child & Parent Information Form Parent Name First Name Last Name Email Phone (###) ### #### Postcode How did you hear about these classes? Child information Childs Name Childs Age Child 2 Name (if applicable) Child 2 Age (if applicable) Is there anything you'd like to share with me about your child that may be relevant to the class? (i.e. injury, health conditions, anxiety, ADHD) Liability Waiver I understand that the class includes the use of essential oils (not directly placed on the skin) I confirm it is my responsibility to inform the teacher prior to class of any concerns I may have with the use of essential oils with my child. Including any allergies my child may have to plant material - herbs, shrubs, flowers, fruits. I consent to the use of essential oils I consent to my child being photographed and these images being shared on social media platforms Thank you! Thank you
