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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 week for a fun, FREE, 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.

🌊 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!

At the Church of the Redemption in Locust Point

1401 Towson St, Baltimore, MD 21230

Check instagram or facebook for updates

Parent Name

Email

Child First Name

Child DOB

Will be attending Tummy Time on:

01/05/2026 10:00am

01/19/2026 10:00am

01/26/2026 10:00am

Phone Number

Area's of Concern

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