FIRST MOON FORM

THANK YOU FOR BEING HERE!

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.

The circle will begin at 2pm, please arrive 15mins earlier so they can get settled.
Parents and caregivers will leave once the circle begins and are to return around 345pm to be invited back into circle.

You will be returning for the celebration, and it would be great if you could consider beforehand any wisdom you would like to share that could be of benefit to them and all the young womxn present. There will be a point in time where you will be invited to share this in the circle.

We will conclude the circle with afternoon tea. I believe your host, Marisa, is liaising with you all about this, my suggestion is something in the red them to honour their first bleed, e.g. red fruit, strawberries dipped in chocolate, red velvet cupcakes.

The RRP for the circle is $125, but as promised I am happy to do this circle for you for $75/participant. This may be paid with cash on the day, bank transfer or PayPal + transaction fee.

Finally, please take a moment to fill out the following form to let me know a little more about them.

Please note: the circle will be conducted with us sitting on the floor, cushions will be supplied for this, but should you require a chair, please let us know in the form below.

I look forward to meeting you all Tuesday 29th December @ 68 Railway Parade, Bayswater WA 6053.

Love, Light and Power,

Tash x

* Indicates required field

FIRST MOON FORM

Name of Parent/Guardian *

First

Last

Email *

Phone Number (in case needed on the day) *

Suburb & Postcode *

Name of Participant *

First

Last

Date of Birth of Participant: *

Name of Parent/Guardian joining us for the Celebratory Tea, if not named above *

First

Last

Relationship to Participant *

You will be asked to share a positive, empowering, uplifting piece of advice for the participants at the circle either based on a reflection of your own menstrual journey, journey to womanhood, or advice or wish you know would be of benefit for them to hear as part of the Celebration Tea. *

I am prepared to do this I could use some help or suggestions as to what to share

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? *

Preferred Payment *

I will pay cash on the day Please send Bank Transfer Details Please send Paypal Details

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: These will always be discrete, non-invasive and in most cases, photos that don’t identify the girls directly and will include 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 29th December 2pm.

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

Thanks so much,

Tash x

Submit

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

Thanks again,