Registration Moms Class | CrossFit HelvetiX

First name*

Name*

Email address*

Telephone

Address (Street, House number, Zip Cose)*

Date of Birth (Mom)*

Date of Birth (Mom)

Date of Birth (Baby)

In which phase of your pregnancy are you*

Which phase of your pregnancy are you in?

Postpartum moms: How did you give birth?

Did you have any birth complications?

Did you do a postpartum rebuilding course?

Postpartum moms: Did you do a postpartum rehab course?

Do you have any pregnancy or postpartum symptoms?*

Do you currently have any pregnancy or postpartum symptoms (e.g. pelvic pain, incontinence, any degree of pelvic organ prolapse)?

Anything else we need to know before the course?*

Anything else we need to know before the course?

When would you like to start training with us?*

When would you like to start training with us?

Which card are you interested in?

doctors consent*

I have been cleared by my doctor and participate on my own risk.

Confidentiality declaration*

I agree that my details and data will be collected and stored electronically to answer my request and will be treated confidentially.

Where did you find out about this course?*

Where did you find out about this course?

Moms Classes