Required fields are marked with asterisks (*)

Mini & Me Yoga

Details:
- Dates & Times:
  - January 21, 2026 – 3:00 PM to 4:00 PM
  - January 28, 2026 – 3:00 PM to 4:00 PM
  - February 4, 2026 – 3:00 PM to 4:00 PM
  - February 18, 2026 – 3:00 PM to 4:00 PM
- Location: Calabogie Community Hall, 574 Mill Street, Calabogie
- Cost: $20 per class (Mom and Child) or $65 for all 4 classes

Parent/Guardian Name

Child's Name:

Age:

Does your child have any allergies or medical conditions that we should be aware of?

Yes

Add Child Remove

Parent/Guardian Address

Phone Number

Emergency Contact

Phone Number

Consent:
I, the undersigned, do hereby release and agree to indemnify and save harmless the Township of Greater Madawaska and their respective employees or agents from all claims for loss, injury or damage to persons and property while participating in or travelling to and from the activities, which I or any person claiming through me or on my behalf, may at any time have arising out of or connected with the operation of this activity.

Parent/Guardian Signaure

Clear

Date

Photography Consent:

Participants in this activity may be photographed for public relations, social media, web content, advertising, educational and archival uses.

I, the undersigned, being the parent or legal guardian of the child/children registered by means of this form, do hereby grant the Township of Greater Madawaska my permission to use the photographs for any legal use, including but not limited to the uses listed above.

Parent/Guardian Signature

Clear

Date

Cost is $20 per class (Mom & Child) or $65 for 4 classes

Please select the classes that you plan to attend:

January 21, 2026 – 3:00 PM to 4:00 PM

January 28, 2026 – 3:00 PM to 4:00 PM

February 4, 2026 – 3:00 PM to 4:00 PM

February 18, 2026 – 3:00 PM to 4:00 PM

Select payment method:

Credit Card (online only)

E-Transfer

Cash/Debit/Cheque (in office)