Bump & Baby Fit Referral Form


This survey is from Active Leeds at Leeds City Council.
Many congratulations on your pregnancy. Keeping active in pregnancy and beyond has huge benefits for both you and your baby. Please fill in the form below if you would like to register for a free Bump & Baby Fit pass throughout pregnancy. The pass entitles you to unlimited access to public swimming sessions, and access to term time weekly pregnancy yoga fitness classes in selected leisure centre venues to help you keep active as your baby grows and develops throughout your pregnancy and after birth.

Privacy notice (data protection)
By completing this form you consent to share your personal data with Active Leeds. Your details will be held securely under the Data Protection Act 2018. Your personal data will not be shared with any third parties without your prior consent.
Anonymised data will also be shared with Leeds University for research and evaluation purposes.

Please confirm... *


I give my consent for my responses to be shared with Leeds University. (anonymously)