Booking form for YogaTumz Pregnancy Yoga NameAddress Street Address Address Line 2 City ZIP / Postal Code Telephone NumberMobileEmail How many weeks pregnant are you?Is this your first/second/third/fourth pregnancy?Any complications in this or your last previous pregnancies?Have you done yoga before? If so when/where?Please state why you are joining this class?Do you have any physical or mental health issues?What is your due date?*Please provide name and phone number of your birthing partner?*This is for health and safety purposes during classes. If you were to become unwell during the session, we need to know who to contact.How did you hear about YogaTumz classes?Facebook GroupFacebook AdvertisingGoogleRecommendationData Privacy* I consent to my submitted data being collected and stored This form collects your name, telephone number and email address along with your message so that our team can communicate with you and provide you with assistance. Please check our Privacy Policy to see how we protect and manage your submitted data.I declare that to the best of my knowledge the above information is correct and that I enter into this programme fully aware of the above ‘at risk’ groups. I will proceed with caution during the course and will work within my own limits. I will advise the tutor immediately if there is any change in these circumstances. Terms and Conditions* I have read the Terms and Conditions Please confirm you have read and agree to Terms and ConditionsDate Date Format: MM slash DD slash YYYY
