top of page

Birth Pool Rental Form

I agree:

- That it is recommended that all births be attended by experienced birth professionals.

- That rental of the pool is specifically limited to indoor use.

- To take full responsibility for the manner in and purpose for which said pool is used.

- To pay for the replacement of said pool and all its parts, including the pumps, in the event it is punctured, ripped, mildewed, melted, or in any way damaged while in my possession.

-The Supplier will have one week upon return of the materials to inspect the birth pool and its parts and will issue any damage charges within that time.

- That the pool will be returned to the owner undamaged and thoroughly cleaned following its use, as outlined in the information included with the pool.

- That there will be no reduction in fees if the pool is returned before the end of the rental period or if the pool was picked up/delivered by/to me, but never used.

- To release and hold harmless the suppliers of this equipment as well as the pool manufacturer from any and all responsibility or liability in connection with the use of said pool and equipment.

-The pool will be guaranteed available to me from 38-42 weeks of pregnancy, earlier or later availability may be requested but is dependent upon approval from the supplier

- That the pool must be returned no later than a week after the birth.

- That it is the renter’s responsibility to pick up and return the pool on their own OR delivery/pickup can be arranged for an additional fee.

-A $50 non-refundable retainer is required to reserve the pool and is due with this agreement. The remaining $100 rental fee is due when you pick up/receive the pool.

-I (the renter) am responsible for supplying my own fill hose and faucet adapter to fit my home's needs

I would like to
Pick up the pool myself for free
Have the pool delivered to me for a fee (contact for fee quote)

Non-refundable retainer fee (due upon submission of this form):

$50

Remaining fee (due by pick-up/delivery):

$100

Select form of payment (I will send you payment info based on your choice)
Venmo
Zelle
Cash/check
Card (+processing fee)
HSA/FSA (+processing fee)
Date

Follow

  • Instagram
  • Facebook

©2023 by Love to Birth Doula Services. Proudly created with Wix.com

bottom of page