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Alite Mind Children’s Class Enrolment Form

Alite Mind Children’s Class Enrolment Form

Firstly, I would like to welcome everyone to Alite Mind - Meditation and Mindfulness. Could you please fill in the following class enrolment form for your child. This information is strictly confidential but is critically important for me to understand so I can best support and facilitate all meditation practices.

Please answer all items, so I can best support your child during these sessions. Thank you.


"*" indicates required fields

DD slash MM slash YYYY

About the child


Medical Information

If yes, please ensure he/she brings relevant medication with them to class and are able to administer to themselves.

Terms and Conditions

Alite Mind classes include movement, stretches, visualisation, breathing exercises, musical instruments, and children’s creative art techniques.
Do you consent to your child being involved? *

Parent’s Responsibilities

Alite Mind takes all reasonable care to ensure that its programmes are fun and safe. However, I understand that my child will be engaging in a moderate amount of physical activity that may involve some risk of injury. I acknowledge I have been advised to consult with my or my child’s physician with respect to any past or present injury, illness, health problem or any other condition or medication that may affect my child’s participation in the Alite Mind programme. In the event of emergency and in my absence agree to the Alite Mind facilitator contacting Emergency Services.*
I have read the Alite Mind child protection policy and in the event of my child not being collected I agree that Alite Mind can contact the social services duty for my child's protection.*
I confirm that I have fully disclosed to the Alite Mind facilitator any conditions (whether such conditions are physical, mental, behavioural) that my child has or may have before my child participates in the class.*
As far as is permitted under Local Law, I assume the above risks and accept responsibility for any injury sustained by my child. I further discharge and hold harmless Alite Mind (or its owners and other personnel) from any liability: arising from any injury to my child or other persons or property caused by my child’s participation. If that injury is caused either by my child’s fault, or by a third party unconnected with Alite Mind provision of services; or by events which Alite Mind, its owners, could not have foreseen or prevented even if they had taken reasonable care.*

Refund classes

Bookings and prepayment are required to hold your child’s place in the class. I understand and agree that I will not receive any refund or credit for missed classes where there has been no notification and resulted in failure to attend, but if cancellation of a class is due to failure on the part of Alite Mind I will be entitled to a reasonable refund of the charge for that class or a transfer of monies to the following class. Meditation classes may be cancelled if insufficient numbers, with referrals of any monies to the next class or if preferred a full refund. All possible care will be taken not to inconvenience any client. After 2 classes it may be apparent to the Alite Mind Coach that classes are not appropriate for a child at this stage. In this instance we will request that the child is removed from the class and the balance will be refunded.*

Thank you so much for your interest and involvement with these meditation sessions. I appreciate you completing this form. Should you ever have any questions, please feel free to contact me.


Warm Regards,
Natalie Michels
Registered ACA Counsellor,
Specialising in Womens Counselling,
Registered Mindfulness and Meditation Practitioner,
Childrens Mindfulness Classes
This field is for validation purposes and should be left unchanged.

Kind Words

Louise N
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Louise N
October 3, 2024

Natalie is a kind and caring practitioner who takes a substantial amount of time to cater to individual needs. I can particularly recommend her online meditation library, which is great for at-home practice and offers a large range of guided meditations.

Michelle Boyd
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Michelle Boyd
August 16, 2024

My favourite way to spend a Monday night, is to visit the Alite Mind studio for Group Meditation Natalie has created a warm and cosy space to unload your worries & stresses of the day. Stepping into the room feels like being enveloped in a giant hug. Her presence is very calming and I leave feeling refreshed and have clarity of mind. I thoroughly enjoy the sessions

Ildi
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Ildi
August 13, 2024

I have felt consistently supported and safe with the compassionate, authentic, gentle care provided by Natalie, at a truly difficult and challenging time :)

Nicole Laughton
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Nicole Laughton
August 13, 2024

I highly recommend Natalie at Alite Mind she supported me through a very high stressful time in my life. I felt safe, supported and understood all the way through our sessions. I took the opportunity to become a member to her meditations and they too are amazing, her voice is so calm and soothing easy to follow. Natalie is very professional, kind and compassionate. Thank you for all you have done to support me in my time of need.

Deb Harvey
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Deb Harvey
July 16, 2024

I love my Tuesday morning meditations at Alite Mind. The atmosphere is so relaxing and welcoming and the session is just lovely, like a warm hug! I always leave feeling rejuvenated and relaxed. Thank you!

Rach Jenkins
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Rach Jenkins
June 10, 2024

Nat is amazing very supportive and helpful to learn more about meditation The group is a Wonderful safe and comfort zone

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