Gentle Rise of Hope
Supporting Families. Inspiring Hope. Building Stronger Communities.

Mommy & Me Yoga + Sound Bath Wellness Experience Registration

Register for Gentle Rise of Hope's Mommy & Me Yoga + Sound Bath Wellness Experience on Thursday, September 24, 2026 at Kent Commons Community Center. Family arrival begins around 2:15 PM and the wellness experience begins at 2:30 PM. This experience is designed for mothers/caregivers attending with one child ages 1 through 5. Space is limited to 8 families, planned as one participating adult and one child per family registration. The registration fee is $10 per family, and fee waivers are available. Submitting this form does not guarantee a spot; GROH will review registrations and send a confirmation or waitlist update.

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01

Mother/Caregiver Information

Tell us how to reach the mother or caregiver who will attend the experience.

Mother/Caregiver Full Name*

Please enter the name of the adult who will attend the experience with the child.

Email Address*

We will use this email for registration updates and event reminders.

Mobile Phone Number*

Please provide the best number for time-sensitive event updates.

Preferred contact method*

How should GROH send event updates?

02

Your Little One

This experience is planned for one participating adult and one child per family registration so we can keep the room calm and comfortable. If you need to bring an additional child, please contact GROH before registering.

Child First Name*

Please enter the first name of the child attending with you.

Child Age (1–5 years)*

This experience is designed for children ages 1 through 5.

Have you or your child participated in yoga before?

No previous yoga experience is required.

03

Comfort, Accessibility & Food

These questions help GROH and the facilitator prepare a welcoming, child-friendly experience. Share only what is helpful for us to know.

Food allergies or dietary restrictions*

Please write None if there are no known food allergies or dietary restrictions.

Accessibility, movement, or comfort needs

Is there anything that would help make the experience more comfortable or accessible for you or your child?

Does your child have any sound sensitivities you would like us to know about?*

The experience includes a gentle sound-bath portion.

If yes, what would help your child feel more comfortable during the sound portion?

Optional.

04

Registration Fee & Attendance

The family registration fee is $10. Financial assistance is available, and no family will be excluded solely because they cannot pay the fee.

Registration fee option*

Choose the option that applies to your family. Fee-waiver requests do not require financial documentation or an explanation of hardship.

Limited-space attendance commitment*

Space is limited to 8 families. If your family can no longer attend, please notify GROH as soon as possible so the space can be offered to another family.

05

Participation & Event Expectations

Yoga mats will be provided. Families may bring a small blanket, pillow, comfort item, or personal water bottle.

Mother/Caregiver supervision acknowledgment*

You are responsible for supervising your child throughout the experience and may pause, rest, or modify activities at any time.

Gentle movement acknowledgment*

This is a general wellness experience that includes gentle movement, yoga-based activities, relaxation, and sound. Please participate within your own and your child's comfort level.

Arrival expectation*

Families should plan to arrive around 2:15 PM so they are settled before the 2:30 PM start. Late entry may be limited once the wellness experience begins to protect the calm environment.

Do you consent to GROH taking and using photos or video of you from this event?*

Choosing No will not affect your ability to participate.

Do you consent to GROH taking and using photos or video of your child from this event?*

Choosing No will not affect your family's ability to participate.

06

Community & Follow-Up

Help us understand how families are finding GROH wellness programs.

How did you hear about this experience?*
Would you like information about future GROH maternal and family wellness programs?

This may include future prenatal, postpartum, Mommy & Me, sound bath, and family wellness experiences.

Would you like GROH to contact you about additional family support, resources, or intake services?

This is optional and separate from event registration.

Your response is sent securely to Gentle Rise of Hope.