121 Booking Form

  • To book a 1 to 1 session, please complete the following sections and make your payment using the details provided at the bottom of the form.
  • To book a 1 to 1 session,, I require your contact details and your baby's medical information. Your details will remain strictly confidential and will not be passed to any third parties. By submitting this form, you are consenting to being contacted with information about similar classes and treatments. Please check the Privacy Policy to see how your data is protected and managed: https://www.thehappylittlebabycompany.co.uk/privacy-policy/
  • Date Format: MM slash DD slash YYYY
  • Please send your course fee via bank transfer to: Victoria Thomas Account no 79922834 Sort Code 09-01-27 (PLEASE USE YOUR NAME AS THE REFERENCE)
  • I understand that the techniques learned are not considered to be a medical aid and therefore I must ensure that my child is also receiving appropriate care from a primary care provider if relevant. I realise the work is being given for the wellbeing of my child. I have stated all medical conditions that I am aware of and will update the practitioner of any changes in my child’s health status. I give consent for my data to be stored on the understanding that they will be in a secure place and kept confidentially. I can ask for them to be deleted at any time.