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Aquanatal PARQ Form

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We're looking forward to you joining our Aqua Natal classes and being part of this exciting time for you!

Before embarking on the Puddle Ducks Aquanatal class, we need to gather some information regarding your health to ensure that our aqua natal classes are right for you at this time. Please read the notes below and complete the questionnaire so we can get you booked on to our classes or request further information if needed.

Thank you! :)

SECTION A

The questions in Section A will determine if you need to obtain your Doctors or Midwives written permission before joining our Aqua Natal classes.

  • Please read the questions carefully and answer each one honestly.
  • Please speak to your teacher if there is anything that concerns you
  • If you knowingly give incorrect information the Teacher and Puddle Ducks can bear no responsibility for any resultant injury or pain.

If you answer YES to any of the questions in this section, then you are required to obtain your Doctors written permission BEFORE attending a session.  Due to insurance reasons, waivers of consent are not permitted.  Doctors may charge for a ‘fit to exercise’ certificate – this charge cannot be passed onto Puddle Ducks.

SECTION B

If you answer YES to any of the questions in Section B, you do not need a medical note however you are required to discuss your condition with your aquanatal teacher to ensure that you understand the implications of certain exercises.  

Please remember any physical activity should not be painful. If it hurts stop immediately and tell your teacher.

Your Personal Data: we may provide the personal and sensitive data that you submit on this form to our insurers and other third parties that we are legally obliged to inform in order to provide you with aquanatal classes. 

We look forward to having you in our class soon!

Aqua Natal PARQ

Your Details
(e.g. Partner, Husband, Parent, Friend)
SECTION A

















SECTION B



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