Workshop Registration Form

Thank you for helping to save the environment by completing this form online.

please specify the date of the workshop that you are registering for
Thank you for helping us improve our marketing
yyyy-mm-dd (click on the month and year at the top of the date picker)
Contact Details
Medical Information

I, the parent of the above listed child,

  • understand that a parent or caregiver is required to attend with my child.
  • do not hold Mindful Minis or any member of its staff responsible for any sickness or injury occurring while my child and the said parent / caregiver attend Mindful Minis.
  • hereby indemnify Mindful Minis and all its members of staff against any claim for injury or loss sustained by my child or the said parent / caregiver and I undertake to pay any medical expenses incurred as a result of such injury.
  • agree that I will settle all fees due to Mindful Minis in advance. I understand and agree that no refunds will be given for cancellations or non-attendance. Workshops cancelled by Mindful Minis due to unforseen circumstances will be refunded.
  • agree to give Mindful Minis permission to use photographs or video recordings of my child and said parent / caregiver for any Mindful Minis promotional materials, including the Mindful Minis website and Facebook page. I understand that my child will not be identified by name, nor will any compensation be extended for such use.
By submitting this indemnity form, I am signing that I understand and accept the above terms and conditions.
Parent First and Last Name