Sling meet bookable slot Booking Form
Please give as much information as possible so we know how best to help you when you come.
East Kent Slings CIC
Your name *
Child's name
Baby's date of birth or estimated due date *
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Address *
Telephone number *
Email address *
Please specify who will be attending the sling meet slot? (e.g. you, you and your partner, a grandparent..., Maximum of 2 related adults)
How do you anticipate using the carrier? Tick all appropriate *
Required
What one thing would you like to focus on in this session? *
Do you have any babywearing experience? Tick all appropriate *
Required
Are there any specific carriers you'd like to try?
Did you have any medical complications during pregnancy/birth?
Was your baby born prematurely? If yes, at how many weeks and what was their birth weight?
If currently pregnant, is your baby expected to arrive early or are there any anticipated complications?
Let us know if there are any existing medical conditions for you (and other wearers if applicable) *
Please give details of any other information you may find relevant.
I am requesting to attend a sling meet slot with a trained Baby-Carrying Consultant. The sling meet slot will include demonstration and hands on training with slings and carriers and the most up to date safety information will be provided. I understand that babywearing is a safe practice when all of the recommended safety guidelines are correctly followed, but as with any physical activity there are associated risks if done incorrectly. I acknowledge that it is my responsibility to follow the safety guidelines that have been recommended to me and that I have disclosed any medical condition that I and / or my child have that may prevent us from babywearing safely. I assume the foregoing risks and accept full responsibility for any personal injuries sustained by me or my child which might occur as the result of babywearing and discharge and hold harmless East Kent Slings CIC from any claim, cause of action or liability from damages arising from my use of a sling or carrier. *
Required
By providing this information my personal details will be kept in accordance with the GDPR and will only be used in conjunction with this drop in slot. *
Required
I consent to the identifying data given here being used by East Kent Slings to provide the service of a drop in slot and follow up care. I understand the privacy policy and the way this data will be handled. *
Required
I consent to any sensitive medical information given here (including whether or not I am pregnant) being used by East Kent Slings to provide the service of a sling meet slot and follow up care. If I do not consent, I won't be able to attend the sling meet slot. *
Required
I acknowledge the contagious nature of the Coronavirus/COVID-19 and that Public Health England and many other public health authorities still recommend practising social distancing. I acknowledge that East Kent Slings has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19. I acknowledge that East Kent Slings CIC can not guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, staff, and other clients and their families. I voluntarily seek services provided by East Kent Slings CIC and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment. *
Required
I confirm that:* I am not experiencing any symptoms of illness such as cough, shortness of breath or difficulty breathing, high temperature over 37.8 C, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.* I have not travelled internationally within the last 14 days.* I believe I have not been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.* I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities.* I am following all Public Health England recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19. *
Required
I hereby release and agree to hold East Kent Slings CIC harmless from, and waive on behalf of myself, my dependants, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the organisation, or that may otherwise arise in any way in connection with any services received from East Kent Slings CIC. I understand that this release discharges East Kent Slings from any liability or claim that I, my dependants, or any personal representatives may have against the organisation with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from East Kent Slings CIC. This liability waiver and release extends to the organisation together with all directors, partners, and volunteers. *
Required
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