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!

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

There are 5 taster sessions taking place across June and July at 1st Place Family Hub, SE5 0RN and Victory Family Hub, SE17 1TJ.

Completing this form is the first step to attending a Breathe Melodies for Dads taster session 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 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 9 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: Please select sessions to attend (tick all that apply):
Sat 15 June 9.30-10.30am
Mon 24 June 6:00-7:00pm
Mon 1 July 8:00-9:00am
Sat 13 July 12.30-1.30pm
Fri 19 July 10.30-11.30am
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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