Sign up for our FREE 10-week programme, open to new mothers living in the London Borough of Lambeth experiencing low mood, feelings of stress, anxiety and social isolation with babies aged 0-9 months.

  • Tuesday 27th Jan to Tuesday 31st March 2026; 10.30am to 11.30am
  • Jubilee Children’s Centre, Tulse Hill, SW2 2JE
  • Friday 30th Jan to Friday 3rd April ; 2pm to 3pm
  • Liz Atkinson Children’s Centre, Mostyn Road, London SW9 6PH

Completing this form is the first step to attending a Breathe Melodies for Mums programme. Once submitted, you will hear from one of our team who will be able to provide guidance on next steps as well as answer any questions you may have week commencing 5th January following the festive break.

If you require help completing this form or would like to receive it in a different format please contact us on [email protected] or 07511 214 069.

We look forward to hearing from you!

Personal Details


All fields are mandatory.

Mother's Full Name: Mother's Age: Mother'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): What gender do you identify with? Which language do you speak mostly at home? What is your ethnicity: 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 name: Email: Confirm email: Telephone: Postcode: Borough of Residence: Name of GP Surgery: Person to contact in case of emergency for you: Emergency Contact Mobile number: Recruitment Method: (select from dropdown) Other, please specify: Please select your preferred session: 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). We can provide financial support for travel if needed (e.g. taxis). If you answered yes to the question above, please give detail below:

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