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Puddle Ducks Aquanatal

Aquanatal

  • Aquanatal

    Aquanatal

    Before embarking on the Puddle Ducks Aquanatal class, we would be most grateful if you would take a few moments to complete the following questionnaire.  

Aquanatal Physical Activity Readiness Questionnaire

Please answer the questions below. The questionnaire will determine if you need to obtain your Doctors or Midwives written permission before beginning swimming.

· 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.

Your Details
(e.g. Partner, Husband, Parent, Friend)
SECTION A
SECTION A - PLEASE TICK ALL THAT APPLY:
SECTION B
SECTION B - PLEASE TICK ALL THAT APPLY:
MORE INFORMATION
  • If you answer YES to any of the questions in SECTION A, 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.

    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. One of our friendly office team will be in touch very soon.

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


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