Did you have any complications during your pregnancy?
If yes, what were the complications?
Did you have any complications during delivery?
If yes, what were the complications?
Are there any challenges with your baby at this moment, which you would like to share with us?
What are your expectations, if any, of this workshop?
How did you learn about the Shantala Baby Massage class?
Herewith I declare that I have given all the information correctly and truthfully and I know that neither the Canadian Organization for SHANTALA Massage not its Certified Instructors can be held liable for any losses and/or damages of any kind.
Your space is not confirmed until we have received your payment. Please make cheques or money orders payable to "The Natural Mother Centre".
Mail to: 12 - 321 Wesley St, Nanaimo, BC, V9R 2T5
If paying by credit card (we accept Visa, Mastercard, American Express & Diners) we will call you for your card information. Do not send it through the web site as it is not secure.
Thank you for your registration - we look forward to meeting you & your baby!
