Registration form for Children

"*" indicates required fields

Consent*
I confirm that the below-mentioned client is aged between 13-16 years and give my consent for them to attend sessions on their own without a legal guardian/parent present.*
I confirm that the client mentioned below is under the age of 13, and a legal guardian or parent will attend the entire session.*

General information

Name*
MM slash DD slash YYYY
Sex*

Medical information

Is the client currently seeking medical attention for any injury, illness or pain?*
Please tick if the client has any of the following medical conditions*
Please accept the below policies*
This field is for validation purposes and should be left unchanged.