Kids Mindfulness Registration – October 15th Class Please fill in this form prior to attending class. Maximum number in class is 12 kids. Kids Mindfulness Registration Parents Name First, Last Name Parents Email Confirm Parents Email Mobile/Cell Phone Child #1 - Age & Name Child #2 - Age & Name Child #3 - Age & Name Are any of your children on medication? Please let us know why you want your child, or children, to learn mindfulness? Submit
