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HypnoBirthing Booking Form
Fill in this form to join a group course or private course with Carla Morgan from Birth and Baby Hub
Full Name *
Your answer
My Date of Birth *
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DD
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YYYY
Postal Address *
Your answer
Mobile *
Your answer
Email *
Your answer
My baby's due date *
Your answer
My birth companion *
This is the person attending the course with you
Your answer
My private midwife, doula or obstetrician
Your answer
I'm having my baby at *
Required
This is my *
Required
I'd like to attend the following course *
HypnoBirthing Group $650 | With a Friend $500 | HypnoBirthing Private $850 | Refresher $200 | 3 hr Birth Workshop $300
Required
Do you or your birth companion have any dietary requirements?
I'd like more information on Placenta Encapsulation Services
I'd like more information Sleep Workshops
How did you find us? *
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Why are you interested in HypnoBirthing?
Your answer
Is there anything else you would like me to know or do you have any questions?
Your answer
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Next steps
I'll be in touch within 24 hours with email confirmation of your booking and details to make your $150 deposit. Once this is received, your place is confirmed and your HypnoBirthing Book sent out to you. Final fees are due one week before course commencement. I look forward to working with you and your family :)
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