Infant Massage Registration

To register for Melissa's upcoming Introduction to Infant Massage Class at WholeKids, please fill out the information below and select submit. Once the form is received, you will be contacted to arrange payment.

Your Name *

First

Last

Your Infant's First Name (and last if different) *

Infant's Age *

Is your infant crawling? *

No Yes

Please select your preferred date *

Friday, September 23rd @ 10:30 am Friday, October 28th @ 10:30 am Friday, January 27th @ 10:30 am Friday, February 23rd @ 10:30 am Friday, March 23rd @ 10:30 am Friday, April 27th @ 10:30 am Friday, May18th @10:30 am

How did you hear about the class? *

Email *

Main Phone Number *

Melissa Muguruza Weaver, LMT

To register for Melissa's upcoming Introduction to Infant Massage Class at WholeKids, please fill out the information below and select submit. Once the form is received, you will be contacted to arrange payment.