Birth Afloat Rental Booking Form

Parent's Name

Phone Number

Alternative Phone Number

Email

Address

Choose your Birth Pool Kit

Small Heated Wooden Pool Large Heated Wooden Pool Mini Pool In A Box Regular Pool In A Box Accessory Kit Only

Choose how to receive your Pool Kit

Pick up from Ocean Shores Pick up from Lawson Delivered by courier

Choose how to return your Pool Kit

Drop off to Ocean Shores Drop off to Lawson Returned by courier

What is your EDD?

What date would you like to start your 3 week hire?

Account Name

Account Number

BSB Number

For 25 years we have supported Australian Midwives, Doulas, mums & dads, hospitals and birth centres with quality birth pools and birthing accessories.

Say Hi

5 Bobra Glen
Ocean Shores, NSW
2483 Australia
[email protected]

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