FIRST MOON FORM

THANK YOU!

I'm honoured to be holding this sacred circle for the special young womxn in your life.

This rite of passage for them is such a significant one that I really believe deserves the space and celebration this circle will be for it. My intention is that your young womxn will walk away with a deeper understanding of what is happening, how special this time is in their lives and how to honour it and deepen their own connection with themselves.

This I believe will be life changing not only for them, but for your relationships with them and healing for womxn far and wide.

Your circle date: Sunday 10th October 2021

Time: 2pm - 5pm
Please arrive on time or a little early as we have much to cover in our circle.

Parents and caregivers are welcomed to circle at 3.45pm for the celebratory afternoon tea.

Please note, you will be given a handout with questions to reflect on and answer which you may like to complete on your own or with the other parents/caregivers whilst you are waiting to join the circle. There will be a point in time during the circle where you will be asked to share your reflections, wisdom and/or wishes for the girls to help the girls feel supported and remember that they are not alone, and that all womxn before them have been through the same experience.

Private Circle Fee is $100/parent child pair
Payments to secure your circle may be made by bank transfer into the account below, or sent via PayPal.me/pocktyogini ($100 + $3 transaction fee)
including your name or child's name in the description/notes for easy reference.
(Natasha Tay ING, Bsb: 923 100 A/c: 33947168)

Finally, please take a moment to complete the form below to let me know a little more about you and your young womxn.

I appreciate hearing from you before the 10th September to assist with my preparation and meeting you all in person Sunday 10th October 2021.

Love, Light and Power,

Tash x

* Indicates required field

FIRST MOON FORM

Name of Parent/Guardian (attending celebration) *

First

Last

Relationship to Participant *

Email *

Phone Number (in case of emergency on the day) *

Suburb & Postcode *

Name of Participant *

First

Last

Date of Birth of Participant: *

Is there anything you need to share that could impact theirs or your involvement such as dietary or medical requirements eg. allergies, injuries, accessibility, conditions or medications? *

Is there anything either of you may require to feel welcomed, included or comfortable? *

Is there anything else I need to know about yours or their concerns or any questions I can reply to? *

As the Parent or Guardian of a minor, I confirm that I permit the participant named above to attend this event. *

Yes

RELEASE: I am aware that we may be included in photographs taken at the Circle that may be used for future promotional purposes on www.pocketyogini.com and associated social media websites. Please note: Photos taken will generally be used simply to give others an idea of what to expect in circle and in most cases will just be a group photo at the end of the celebration. *

I have read and agree to the above statement I would like to see the photos first before agreeing to their use.

*Waiver / Indemnity: I hereby release, discharge and/or otherwise indemnify and hold harmless Natasha Tay (t/a Pocket Yogini) from all liability for any loss, damage, cost or expense suffered by the participant *

I have read and agree to the above statement

Thank you for your time taken to complete this form. I look forward to welcoming you both to the circle on the 10th October 2021.

Please don't forget to hit the Submit button below to send your information.

Submit

Any questions, please don't hesitate to contact me via email.

Thanks so much,