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Tiny Tides Tummy Time Intake Form

🌟 Free Weekly Tummy Time Group 🌟

Learn about how to make tummy time more enjoyable for you and your baby, as well as getting questions about general development and feeding answered by pediatric occupational therapist and lactation counselor!

Join us every Monday from 10:00am-10:45 AM for a fun and supportive tummy time group. Feel free to bring a yoga mat/blanket for your little one (there will be mats available, but they are first-come, first-serve).

This group is all about building a sense of community for caregivers in Baltimore while supporting your little one's growth.

 

*For infants from birth to pre-crawling only (Please be on the look out for future groups where you can bring your toddlers as well!)

🌊 Come make waves with us as we support your little one's journey! 👶 Open to all parents and infants in the community. We can’t wait to see you there!

Every Monday- Alternating between Latrobe Park and Riverside Park in Baltimore, MD 21230

*Check instagram for updates


RAIN BACKUP - check instagram or facebook for updates


Parent Name

Email

Child First Name

Child DOB

Will be attending Tummy Time on:

Will be attending Tummy Time on:

Phone Number

Area's of Concern

How did you hear about us?

How did you hear about us?
Do you consent to photos/videos of you and your child being taken during the tummy time group and give Tiny Tides Therapy permission to use them for educational materials, social media promotion, and community awareness? These photos/videos may be used to

Consent to Picture

Consent to Picture