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Aquanatal Classes

Aquanatal Booking Form

Thank you for your interest in our Aquanatal classes. If you have any final questions before booking you can call 01622 236111 or email [email protected].

Before embarking on the Puddle Ducks Aquanatal class, it is a requirement to complete the health questionnaire below. This will determine whether we will need any additional information from you before confirming your space, such as a not from your Doctor or Midwife.

After we've received your health questionnaire, we will call you to take payment. The price for Aquanatal classes is £9.00 per class.

Our Aquanatal class is at Grosvenor Hall, Ashford on Tuesdays at 7:15pm. 

Please provide the telephone number of a family member or friend who we should contact in the event of an emergency.
Please provide the name of a family member or friend who we should contact in the event of an emergency.
Please answer the questions below. The questionnaire will determine if you need to obtain your Doctors or Midwives written permission before beginning swimming. Do any of the following apply to you? 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 tick any of the questions below, then you are required to obtain your Doctor's 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.
Premature birth or threatened miscarriage *
Previous miscarriage(s) after 12 weeks of pregnancy *
The fetus is small at the respective stage of your pregnancy *
Leaking amniotic fluid *
Spotting or bleeding after 12 weeks of pregnancy *
Placenta Praevia *
Cervical sutures *
Dizzy spells caused by low blood pressure (after 12 weeks of pregnancy) *
High blood pressure *
Increased heart rate
Decreased heart rate
Chest pain brought on by physical activity *
Heart or lung problems
Diabetes *
Epilepsy *
Low levels of iron in the blood (Severe Anaemia) *
Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? *
Please also complete the following: If you tick any of the following, 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.
Are you asthmatic?
Bone, joint or muscle problems (for example back, knee or hip) that could be made worse by a change in your physical activity?
Do you suffer or have you suffered from Pelvic Girdle Pain (PGP), also known as Symphis Pubis Dysfuntion (SPD)?

Thank you

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