REGISTRATION FORM
AND DOCTOR'S CONSENT FORM

Claire asks all mums-to-be to complete a Registration/Health Screening Form before participating in exercise. Don't worry, it is nothing to be concerned about.

The Health Screening Form is designed to enable Claire to identify the small number of people for whom physical activity (whilst pregnant) may not be appropriate.

Follow Step 1 below and email your Health Screening Form/Registration Form back to Claire as soon as possible.

Please answer these questions as openly and honestly as possible, and don't forget to give detailed answers, if appropriate. If you have answer YES to any of the Health History questions on your Registration Form, Claire may need to request a Doctor's Consent Form be completed.

If you'd like to fast-track the Doctor's Consent process, you can follow Step 2 below and print out the Doctor's Consent Form yourself (pdf file). You'll need take the Doctor's Consent form and letter along to your GP the next time you see them and have them post the form back to Claire.

STEP 1 – REGISTER

REGISTRATION FORM – click here to download your Registration Form and follow these steps:

1) open the file
2) complete the registration form on your computer
3) save the file somewhere on your computer where you can find it again eg “My Documents” (without changing the file name)
4) email your form back to Claire as a file attachment to: claire@bumptobabe.co.uk

STEP 2 – DOCTOR'S CONSENT (IF APPLICABLE)

If you have answered YES to any of the “Health History” questions (1-14) on your Registration Form, Claire may request a form from your Doctor before you commence exercise. Claire can send this form direct to your Doctor on your behalf. But, if you'd prefer to fast track this process, you can download the Doctor's Consent Form/covering letter (pdf file) here and take it along to your Doctor the next time you see them.

DOCTOR'S CONSENT FORM – click here to download your Doctor's Consent Form and follow these steps:

1) open the file
2) print the form and covering letter on your printer
3) fill in your name/address/date of birth on the form
4) fill in your Dr's name and address on covering letter
5) take the form and letter along to your Doctor
6) ask your Doctor to send the form back to Claire ASAP

PLEASE NOTE If you'd prefer that Claire request
Medical Clearance from your Doctor on your behalf,
please indicate this when you email back your
Registration Form

Contact Claire now for further information
Check out details of classes
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