top of page

RAINBOW HOOP WELLNESS
Welcome & Registration Form

We are so happy you will be joining us soon.

Please complete this form as best you can so we can get to know you a little and help you in the best way possible. 

We will uphold your right to privacy. 
Only Allahna Jaylah (plus any co-teachers) will have access to your information for purposes of working effectively and safely with you.

THANKYOU!

Thanks for submitting!

bottom of page