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Babywearing In-home Consultation
Intake form
Email address *
Caregiver Name: *
Caregiver Phone Number: *
Home Address: *
Additional Caregiver's Name:
Is Baby Here yet?
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When is Baby's Due Date or Birth date? *
MM
/
DD
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YYYY
Do you have carriers already you would like to learn to use? Please describe (include brands if you know them)
Are there any specific carriers you would like to try? Any style or brand you would like me to bring?
Are there any specific accommodations that need to be made for anyone at the consultation? (physical or otherwise) *
How did you hear about me? *
Do you agree to send payment to Jay McMillin prior to the day of the appointment? *
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