Private Session Form — ChildBlossom

New Student Inquiry

Name

First Name

Last Name

Child's Name

Phone Number

(###)

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Age of child

What is your relationship to the child?

Please describe what you wish to achieve from session(s).

List any questions you have in the box below.

Would you like to subscribe to our quarterly letter?

Yes

“As many parents can probably relate to, the moment my son became a teenager his anxiety levels became almost debilitating. I knew I had to help him but I had to decide which route to take. Thank God I found Erica at ChildBlossom. My son has been doing yoga for 2 years now with Erica and I’ve seen such a transformation in how he copes with stress. Coping skills are the most important tool we can teach kids and yet we don’t teach them because we were never taught them. This is without a doubt one of the greatest gifts I’ve been able to provide for my son. Plus he has taught me how to relax through the mindful mediation techniques he has learned. (Funny how our children become our greatest teachers.) I highly recommend to any parent seeking help for their child (for a multitude of conditions) to give them the gift of yoga through ChildBlossom.”

~ Jenny M. (Parent)