Firstly congratulations on your pregnancy and thank you for signing up to our next course.

Classes are 45 minutes long, I’ll be ready for you 5 minutes before.

Mats are provided but if you prefer to bring your own then please do.

Wear something you feel comfortable in, trainers or bare foot for the class is fine. Just bring some water with you and we’re good to go!

Please complete the form below to help me know a bit more about your pregnancy.

If you have any questions at all, please don’t hesitate to contact me. I look forward to meeting you soon.

Ellie x

Name

First Name

Last Name

Date of Birth

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Mobile Number

Emergency Contact Number

Expected due date

Have you had any previous pregnancies?

Have you experienced any health issues during your pregnancy?

Prior to this pregnancy, have you suffered any injuries or undergone surgery?

If you answered YES to any of the above, please give a few details:

Is there anything else you need to inform your teacher of prior to your first class?

Where did you hear about Bump to Baby Fitness?

Are you happy for class photos and videos which include you to be used on social media for promotional purposes?

Yes

No

By clicking ‘SUBMIT’, you agree to the following statements:

I have declared all information regarding the health of me and my baby that might affect my participation in prenatal fitness classes.
If I have any worries I will seek advice from a medical professional before continuing with classes.
I will inform my teacher if any health issues arise during my course.
I take full responsibility for my body and my baby.