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Babywearing In-home Consultation
Intake form
Email address *
Caregiver Name: *
Your answer
Caregiver Phone Number: *
Your answer
Home Address: *
Your answer
Additional Caregiver's Name:
Your answer
Is Baby Here yet?
When is Baby's Due Date or Birth date? *
MM
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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)
Your answer
Are there any specific carriers you would like to try? Any style or brand you would like me to bring?
Your answer
Are there any specific accommodations that need to be made for anyone at the consultation? (physical or otherwise) *
Your answer
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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