Mum and Baby Class
  • Mum and Baby Class

    Postnatal Screening Form
  • All about you

    Please fill in each section to the best of your ability.
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  • Birth and Postpartum

  • PAR-Q

  • Cancellation

    Classes are non-refundable and must be paid in full before starting.
  • Consent and Disclaimer

  • As the parent or legal guardian, you are fully responsible for the care and supervision of your child at all times. Your child must remain under your direct supervision throughout the session. If your baby is not taking part in an exercise, they must remain on the mat you are using or be safely secured in their seat or pram.

    I confirm that I have read and understood all of the information provided above and that I have answered all questions truthfully and to the best of my knowledge. I wish to participate in the Mum & Baby classes, which may include aerobic exercise, resistance training, and stretching. I acknowledge that participation in physical activity involves inherent risks, including the risk of injury and, in rare cases, serious injury or death.

    I voluntarily assume all risks associated with my participation and my child’s participation and hereby release WellnessWithSamantha, as the sole instructor, from any and all claims, demands, or causes of action for injury, loss, or damage, including death, that I or my child may suffer while participating in these activities.

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