Winter School Holidays Yoga Program EOI Childs Name * First Name Last Name Parent/Guardian Name * First Name Last Name Email * Phone * (###) ### #### Age Range * 4-6 7-10 10-14 14-17 Number of sessions you would be interesting in atending over the 2 week holiday period? * Preference for week 1 or 2 of the holidays? week 1 week 2 Both What region of perth are you located in? Are you willing to travel to a venue for the program? Are you an NDIS participant Yes No How did you hear about us? Are there any additional messages you would like to leave? * Thank you! We will get back to you shortly with more information