Join our free group music-making sessions to boost mental wellbeing, bond with your baby and meet new dads in your local area. No musical experience needed! 

Sessions run weekly from Saturday 15th February to Saturday 5th April 2025, 10am to 11am

Ann Bernardt Children & Family Centre, 29 Chandler Way, London SE15 6DT

Open to new dads living in the London Borough of Southwark with babies aged 0-12 months.

Completing this form is the first step to attending Breathe Melodies for Dads with your baby. Once submitted, you will hear from one of our team who will provide guidance on next steps as well as answer any questions you may have.

If you require help completing this form or would like to receive it in a different format please contact us on melodies@breatheahr.org or call 07511 214 069 or 0203 290 2013.

We look forward to hearing from you!

Personal Details


All fields are mandatory, please complete the form in full to ensure your registration is processed as quickly as possible.

Father's Full Name: Confirm Father's Full Name: Father's Date of Birth: Father's Age (select from dropdown): Father's Ethnicity (select from dropdown): Father's Sex (select from dropdown): Baby's Full Name: Baby's Date of Birth (Please note to be eligible for this programme your baby must be aged 12 months or younger at the start of the programme): Baby's Gender: Email: Confirm email: Telephone: Flat / House Number & Street: Postcode: Borough of Residence:
Emergency Contact Full Name: Emergency Contact Number: GP Practice: GP Contact Number: Recruitment Method: (select from dropdown) Other, please specify: Do you have any access or support needs to ensure you can take part in this activity? (E.g. wheelchair access, captioning for online activity, large print information, sign language interpretation) If you answered yes to the question above, please give detail below:

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