BIRTH POOL BOOKING ; TENS MACHINE BOOKING ; Rental - Pool Name(Required) First Last Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Care Provider Expectant Due Date(Required) MM slash DD slash YYYY La Bassine Birth Pool Rental - with linerElectric air pump to inflate the pool | Submersible pump to empty the pool | Disposable Liner | 25ft hose (drinking water quality) with universal faucet adapter (for you to keep) | Disinfecting wipes Price: Optional Water Birth Kit - $100Blue Tarp - to place under the pool and protect your floor. | Pool Cover | Floating Thermometer - to check your birth pool temperature at all times. | Knee pads - comes in handy for your birth partners, care givers and doulas. | Debris Net - to swiftly pick up any unwanted floaters Yes No Thank You Would you like to pick up early? 1 Week Early (37 Weeks) 2 Weeks Early (36 Weeks) 3 Weeks Early (35 Weeks) No, Thank You Total Rental Agreement(Required) I have read and understand the following:Pick up Date: After 38 weeks unless early pickup is chosen. Please contact us via text at 250-328-8244 to after registration to arrange a time for pickup. Return Date: 42 weeks or earlier Please contact us via text at 250-328-8244 when you are done with the pool to arrange for drop off. Please contact us in advance if you need an extra day or two. Failure to return by your 42 week mark will result in a late fee of $75.00. Failure to return by 5 days past return date will result in a non-return charge of $500.00.Payment Agreement(Required) I agree to pay the total above via eTransfer to: admin@okanagandoula.com within 5 business days. Rental - Tens Name(Required) First Last Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Care Provider Estimated Due Date(Required) MM slash DD slash YYYY TENS Machine & PadsPersonal UseDoula UseExtra TENS Pads Yes No Thank You Would you like to pick up early? 1 Week Early (37 Weeks) 2 Weeks Early (36 Weeks) No, Thank You Total Payment Agreement(Required) I agree to pay the total above via eTransfer to: admin@okanagandoula.com within 5 business days.Rental Agreement(Required) I have read and understand the following:Pick up date: After 38 weeks unless early pickup has been selected. Please contact us via text at 250-328-8244 to arrange exact pickup date after registration. Return date: 42 weeks or earlier. Please contact us via text at 250-328-8244 for exact date after registration. Failure to return by this date will result in a late fee of $50.00. Failure to return by 5 days past return date will result in a NON RETURN charge of $250.00.
