Sign up for our FREE 10-week online programme, open to new mothers living anywhere in the UK experiencing low mood, feelings of stress, anxiety or social isolation with babies aged 0-12 months. 

Tuesday 27th January to Tuesday 31st March 2026; 10am to 11am

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 about next steps week commencing 5th January following the festive break.

If you need any help completing the form of have any questions, please contact us on [email protected] or 07511 214 069.

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.

Mother's Full Name: Mother's Age: Mother's Date of Birth: 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 12 months or younger at the start of the programme): Baby's name: Email: Confirm email: Telephone: Postcode: UK Region of Residence: (select from dropdown)
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) If you answered yes to the question above, please give detail below:

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