client information

Class Registration
Help me to know more about your special little being!

Thank you for registering to learn infant massage. I am confident you and your infant will walk away enriched.
Please know that in class we always follow the child. Whether little one is hungry, frustrated, sleeping, distracted, in a difficult place or perfectly content, he/she is welcome and his/her state of being will be fully respected. Please plan to bring a soft bed pillow or boppy and any special needs for your child (bottle, diaper, etc). As well as, personal comforts for yourself. We will be working on the floor. Do not hesitate to contact me with any further questions- [email protected] or 704-743-8689.

* Indicates required field

Name *

First

Last

Infant Name and age *

Your relationship to the infant *

Email *

Moms, dads, grandparents, nannies and any other special caregiver make this work valuable to baby. Infants thrive best with at least three true secure attachments.

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

I understand that I will be emailed a payment link after submitting this registration and that only completed payment confirms my spot in class. *

yes

Chosen course: *

Private class series (in your home) Create your own group Intro to Infant Massage Small Group Public Series

Please be sure to submit payment for the class on the class sign up page. Your registration requires payment to be complete.

Insert Coupon Code (if applicable)- *Note coupons are honored by providing a refund of the promised amount AFTER full payment is submitted. *

Details (Please tell me what brings you to learn Infant Massage, about any concerns or difficulties you are having with your baby, include any challenges during the birthing process, and what you hope infant massage can help you with- this will assist me in making sure your instruction is customized to best suit your needs) *

I authorize IMC to use pictures of myself and child taken during class to be used on the IMC website. *

yes no

How did you learn about Infant Massage Charlotte *

Submit

Class RegistrationHelp me to know more about your special little being!

Class Registration
Help me to know more about your special little being!