Name *
Name
Estimated Due Date (if known)
Estimated Due Date (if known)
Please include name of hospital or birth center
Please be as specific as possible
Contact Phone Number on Class Day *
Contact Phone Number on Class Day
Get support during the first trimester (or preconception) Parent Craft will contact you for schedule options
Support for the returning parent(s) Parent Craft will contact you for schedule options
Extra support at any point during your pregnancy Parent Craft will contact you for schedule options
Private Class
Informed Consent, Waiver, & Release of Liability *
I am or will be participating in childbirth preparation classes offered by Parent Craft, LLC. I understand that while participating in these classes, I might partake in physical activity, movements and exertion. I understand that with any physical activity, movement and exertion, there is a risk of injury. Parent Craft, LLC does not require me to participate in this activity, and my participation is voluntary. I am fully aware of and accept the risks and hazards involved. I know I have the express right to choose what physical activity, movement and exertion I do or do not perform. In addition, I may withdraw from any physical activity/movement and exertion at any time. I understand that Parent Craft, LLC is not providing me any medical advice. I understand that it is my responsibility to consult with a medical provider prior to and regarding my participation in these classes. The classes provide neither medical nor clinical advice and should not be used in lieu of any medical advice given to me by a doctor or health care representative or facility. I understand that there may be physical touching/adjustments by the instructor of the class from time to time and that it is my responsibility to let the instructor know if I do not want to be touched/adjusted. In further consideration of being permitted to participate in the classes, I knowingly, voluntarily, expressly, and irrevocably waive, release, discharge and hold harmless Parent Craft LLC, its employees, agents, officers and owners, and owners and/or landlord of 371 8th Street, Brooklyn, NY 11215 from and against any and all liability to me. I hereby waive any right to sue any of the foregoing for injuries I may sustain or losses I may incur whether known or unknown resulting from participation in the classes. I recognize that this release means I am giving up, among other things, rights to sue Parent Craft, LLC, its agents, partners, employees or owner(s) for injuries, damages, or losses I might incur. I have read and fully understand and agree to the above terms of this Informed Consent, Waiver, & Release of Liability. I am signing this agreement voluntarily and recognize that my signature serves as complete and unconditional release of all liability to the greatest extent allowed by law in the State of New York and I agree to be bound by its provisions.

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