Self-Love and Confidence Group for Kids

Parent's Name(s) *

Child's Name(s) *

Number of children being enrolled *

Age of all children being enrolled *

Parent's Email Address(s) *

Parent's phone number(s) *

Which payment plan would you like to select? *

Pay Upfront for 3 Months ($297 total)

Pay Per Month ($114 per month)

What is your child most interested in/what is motivating for them to want to learn? (rank from 1 to 5 with 5 being most motivating and 1 being least)

	Music: Listening to songs, singing, watching fun music videos
	Movement: Dancing, Yoga, Stretching
	Meditation: Breathing Exercises, Learning to relax, learning mindfulness
	Arts + Crafts: Coloring, painting, drawing, writing, creative projects
	Reading + Stories: Being read to, reading to themselves for older kiddos

Is there anything I should know about your child/children and their learning abilities, behavior, or anything that might be helpful for me to expect and prepare for before we start?

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