Mother's Name *

First Name

Last Name

Partner's Name

First Name

Last Name

Due Date *

MM

DD

YYYY

How many children do you have *

This is our first child

One child

Two or more children

Blended family

How would you like to participate? *

Face-to-face workshop

Live-streaming via Zoom

Agreement *

I am aware that participation in the workshop includes physical activity and will inform the teacher if I am a) suffering from any injury or illness, or any other conditions that may affect my participation; b) feeling unwell or experiencing any physical discomfort during the sessions. My partner and I acknowledge the increased risk of contracting the Coronavirus (COVID-19) by attending a group activity. I am aware that as a pregnant woman, I am more vulnerable to infection by COVID-19 and its variants and I am at increased risk of complications if contracted. During the workshop, we will adhere to the Australian and State Government Departments of Health guidelines. If either of us has any of the following symptoms:- shortness of breath, cough, sore throat, fever, loss of taste or smell, vomiting, or diarrhea we will notify the yogababy office via email to discuss our options.

I agree

I disagree