header.jpg

pregactive Booking Confirmation

Please complete this form if this is your first PregActive class class, or first class back for a while.

If you are already a regular, you don’t need to re-do the form.

For Your PregActive Class –

Bring your water bottle.

Wear comfortable clothes, no shoes required.

Arrive five minutes before the class start time

Ask us any questions you may have (in studio or via our Contact Page).

Check out Class Location Page for directions to the correct studio.

Name *
Name
Phone *
Phone
Emergency contact
Emergency contact
Emergency phone *
Emergency phone
Stage of pregnancy *
Are you currently experiencing any of the following?
How often do you currently exercise per week?
How did you hear about PregActive classes?
WHEN IS YOUR DUE DATE?
HOW MANY WEEKS PREGNANT WILL YOU BE AT YOUR FIRST CLASS?
WHEN WAS THE BIRTH DATE OF YOUR BABY
WHAT IS YOUR BUBS NAME?
IS THERE ANYTHING REGARDING YOUR BIRTH OR RECOVERY YOU THINK WE SHOULD KNOW?