Mother & Baby Yoga Referral Form


This survey is from Active Leeds at Leeds City Council.
Congratulations on the birth of your new baby/s. 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. The pass entitles you to unlimited access to public swimming sessions in the Leisure Centres, and access to term time weekly mother and baby yoga classes in selected Library venues. All to help you and your baby keep active as your baby grows and develops.

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)