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Infant Massage Classes Form
Or email on info@lodgeroadtherapy.ie
Name: *
Baby Name: *
Baby's DOB: * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 2010 2011 2009
Address: *
Telephone No:*
Mobile No:
E-Mail:
Class Dates: private classes running for Summer
I will hold extra classes as frequently as there are parents/care givers and babies willing so if interested please tick here
I will go to your home if there is three or more babies. Please tick here if you are interested. I will e-mail you or ring you with details.
Any Comments or Queries:
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