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Birth Boot Camp registration
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Mom's name *
Partner's name *
Address
Email *
Phone number *
Preferred method of contact *
Mom's age
Estimated due date
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Where are you planning to deliver?
Who is your care provider?
How do you feel about taking a childbirth class?
How does your partner feel about taking a childbirth class?
What are you hoping to learn from this class?
How did you hear about Birth Boot Camp?
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