BM Consent Form | True-Ananda

Pre-Course Registration & Consent Form: Baby Massage Course

Please register your interest by selecting your preferred date below to attend the course.

Please read, complete, and sign the consent form below to confirm your participation.

PARENT/CARER CONTACT DETAILS:

First Name

Last Name

Home Address

County

Date of Birth required

Email Address

Post Code

Telephone No.

Relationship to Baby

Emergency Contact Name

Emergency Contact Telephone No.

BABY'S DETAILS:

Baby's Full Name

Baby's Date of Birth required

If Yes, please state health condition

If Yes, please state medication

If Yes, please state allergy

PARENT/CARER HEALTH DETAILS:

If Yes, please state complication

If Yes, please state allergy

COURSE INFORMATION:

Baby Massage Overview:

Baby massage is a gentle, rhythmic practice that involves softly stroking your baby’s body using your hands and a natural oil. These calming strokes help relax your baby and may also include gentle movements of the arms, legs, ankles, wrists, and fingers as part of the routine.

For the duration of the course, we provide cold-pressed organic sunflower oil—a gentle, odourless, and taste-free option that’s ideal for sensitive baby skin. This natural oil is free from additives such as SLS, parabens, lanolin, and mineral oil. Known for its moisturising and nourishing properties, it’s an excellent choice for baby massage.

Extra bottles of oil will be available for purchase if needed. If you'd like, we can also carry out a patch test to ensure your baby has no sensitivities to the oil - please let us know.

For more details, please refer to the Frequently Asked Questions section on our website.

BABY MASSAGE & BABY YOGA HEALTH WAIVER & CONTRAINDICATIONS:

To ensure the safety and wellbeing of all participants, it is important to acknowledge that baby massage or baby yoga should not be performed if your baby is currently experiencing any of the following conditions:

High fever or elevated temperature
Acute infection
Within 48 hours following immunisations
Severe allergies
Open wounds or active skin disorders
Vomiting
Severe diarrhoea
An unhealed umbilical cord
Swollen lymph nodes
Blood clots or any blood-related conditions
Recent surgery

Please note: This list is not exhaustive.

If your baby has any medical condition or if you are unsure about your baby's suitability for massage or yoga, please consult your healthcare professional and discuss any concerns with the course instructor prior to participation.

SAFETY GUIDELINES:

The safety and wellbeing of your baby is our highest priority. If your baby has been diagnosed with any of the following medical conditions, it is essential that you consult with your healthcare professional before participating in any baby massage or baby yoga classes:

Apnoea
Bradycardia
Tachycardia
Abdominal distension
Gastrointestinal feeding tubes
Hydrocephalus
Oedema
Dysplasia
Haemophilia
Jaundice
HIV/AIDS
Tumours
Cancer
Seizure disorders

If you have any concerns or questions about your baby’s health or condition, please speak with your healthcare professional and inform the course instructor before attending any session.

CONSENT & DISCLAIMER AGREEMENT:

Please read the following statements carefully. By ticking the boxes and signing, you acknowledge that you understand the information provided, agree to participate voluntarily, and accept responsibility for yourself and your baby during the True Ananda Baby Massage course.

Please tick and sign the disclaimer below to confirm your understanding and consent:

Parent/Carer Full Name: _____________________________________________________

Baby’s Full Name: ____________________________________________________________

Date: _________________________________________________________________________

Signature (Typed name for digital forms): ______________________________________

I confirm that I have read and understood all of the above statements. I agree to the terms outlined in this Consent and Disclaimer Agreement and take full responsibility for my participation and that of my baby in the True Ananda Baby Massage course.

This agreement also includes important disclaimers regarding health, safety, and liability: Required

I understand that the True Ananda Baby Massage course is intended solely for my personal use with my baby. I acknowledge that it is not designed to qualify me to teach

I confirm that my baby is in good health and is fit to participate in baby massage.

I understand that participation is voluntary and I take full responsibility for my baby’s wellbeing during the sessions.

I have read and understood the health contraindications outlined in this form and accept full responsibility for both myself and my baby during all sessions.

I agree to inform the instructor of any health issues or concerns that may arise for myself or my baby during the course. I understand that if I am ever in doubt, I should seek advice from a qualified healthcare professional before continuing.

I confirm that I have been offered an oil patch test prior to massaging my baby

I release the instructor and organisers from any liability for injuries

I have read and agree to the Terms and Conditions as published on the True Ananda website.

I have read and understood the Privacy Policy (GDPR) as stated on the True Ananda website

Thank you for choosing True Ananda, we will be in touch soon.

Pre-Course Registration & Consent Form: Baby Massage Course

Please register your interest by selecting your preferred date below to attend the course. Please read, complete, and sign the consent form below to confirm your participation.

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Please register your interest by selecting your preferred date below to attend the course.

Please read, complete, and sign the consent form below to confirm your participation.