pregnancy relaxation booking form

thank you for choosing nama mama pregnancy relaxation classes.

sessions will run for 4 consecutive weeks from the confirmed start date. once i have received your booking form i will email you a payment link to secure your place.

please see below for terms & conditions before you book.

should you have any questions or need any clarification, please feel free to contact me at any time, i'll do my best to reply to you promptly.

i look forward to meeting you soon! best wishes, emma xx

relaxation sessions

your contact details

all information is kept securely & confidentially, in line with current gdpr requirements. i will never share your details with a third party.

name

First Name

Last Name

your pronouns

if you'd like to share, just so i know how you like to be addressed. your answer to these questions is always treated in confidence

phone

date of birth

YYYY

home address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

about you & your pregnancy

the information you provide will help me to understand a little bit about you, your baby, your pregnancy to date and your hopes & expectations for your birth

is this your first pregnancy?

when is your baby due?

YYYY

what might you most hope to gain from the relaxation sessions?

anything you'd like to share about you or your pregnancy journey so far?

how did you hear about nama mama?

terms & conditions

a booking does not constitute the creation of a contract and nama mama hypnobirthing reserves the right to decline to process a booking for any reason whatsoever. if the booking is not able to be fulfilled nama mama will refund all monies. vat is not applicable. payment: payment to be made in full upon booking & to secure your place for the duration of the session programme. once payment has been received i will send you a confirmation email & welcome pack. cancellation: session payment is non-refundable. where a person is unable to attend 1 or any number of the 6 sessions, no part-refunds will be made available. please ensure you can commit to each session date/time. nama mama reserves the right to amend or cancel any sessions, times, dates or published prices. changes to session prices, times and dates will be advised before the start date and any sessions already paid in full will not be subject to the increased prices. in the rare event that nama mama needs to cancel part of a session programme, a refund will only be given for the sessions not yet delivered. intellectual property: any recordings or written material included as part of this course are the sole property of the nama mama & little birth company and may not be used or copied other than for the personal use of the participant without obtaining prior written permission from nama mama & the little birth company. data protection: the participant also agrees that nama mama shall hold your details on file and on computer and, in accordance with the data protection act 1998. you are able to view your individual file by giving not less than seven days written notice.

i have read & agree to the terms & conditions

pregnancy relaxation booking form

womb wellness sessions & alternative therapies to support menstruation, fertility, pregnancy, birth, postpartum & menopause

surrey, sussex & online