Thank you for your interest in Breathe Melodies for Mums in Tower Hamlets.

We do not currently have funding to continue in Tower Hamlets. However, if you would like to be notified of any future programmes, funding dependent, please complete the form below.

Please note, your baby would need to be 9 months or younger in May 2026 to be eligible.

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

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: 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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By submitting this form you are consenting to our privacy policy.
The data collected will be anonymised and shared with TOWERHAMLETS Council who are funding this programme for the purposes of reporting.