Birth Afloat Rental Booking Form

Parent's Name

Phone Number

Alternative Phone Number

Email

Address

Choose your Birth Pool Kit

Small Heated Wooden Pool Medium Heated Wooden Pool Large Heated Wooden Pool White Mini Birth Pool Pool In A Box White Regular Birth Pool In A Box Light Blue Mini Birth Pool In A Box Light Blue Regular Pool In A Box Midnight Blue Mini Pool In A Box Oasis Birth Pool 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 5 week hire?

Account Name

Account Number

BSB Number

Please note bank details requested are for refund of your deposit only.

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

Say Hi

Byron Shire, NSW
2483 Australia
[email protected]

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