Bradley Method® Childbirth Class/Series Registration Form
Please fill out this form to register for a 12 week Childbirth Series or a 2-day Childbirth Workshop with Karen Gartner, AAHCC.
The 12 week series' are normally held at Karen Gartner's home in Shelby: 904 Montrose Dr. Shelby NC 28150. Sometimes people volunteer their homes/offices for classes or series. If there are other options they will be listed below. The Workshops are tentatively planned to be held in Charlotte, North Carolina. Please fill out this form of you would like to receive information about the first workshop, tentatively planned for July.

The regular series' run for 12 consecutive weeks. The Childbirth Workshops will be 8 hours total, spread over 2 days. They will most likely be held every couple months.

As you fill out the form, if a question does not apply to you, please write "N/A".


The Childbirth Workshop requires a non-refundable deposit of $60.00/mother or couple. Space is limited, so early registration is suggested. You must list your partner's name here in order to have your partner come with you. If you need to cancel, please notify Karen by email makebirthbetter@gmail.com or phone 704-980-8973. Your deposit may be transferred to a future workshop or to a friend, if you are unable to attend. The full registration fee for the class will be announced soon.

If a Workshop needs to be rescheduled, Karen will contact all of the registered attendees by phone. I'm the case of rescheduling, you would be refunded your deposit if there is a scheduling conflict.

The tuition for the Bradley Method® Series is $340.00/mother or couple (bringing a partner or friend, etc. to help the mother with exercises and labor rehearsals is recommended if possible, but not required). Registration for a childbirth series requires a $60 deposit (through Paypal or by mail/drop-off) and a signed contract to hold your place in class. Space is limited, so registering early is recommended. The remaining $280 is due on the first day of your series (cash or check). If you are unable to pay the entire balance on the first day, please contact Karen to work out a payment plan. The contract may be signed electronically.
If you have an HSA or FSA account, you may be able to receive reimbursement for your childbirth course. Contact Karen for details.

Please note: when your register for a Bradley Method® series, this information is shared with the American Academy of Husband Coached Childbirth (Bradley Method® headquarters). Your personal information is not shared with anyone else. This information is simply used for documentation purposes and to help the AAHCC gather statistics. Other than that, your personal information is never shared with anyone or ever used for advertising purposes.

Which childbirth class/series would you like to register for?
Name (first and last) *
Your answer
email address *
Your answer
phone number *
Your answer
address (including city, state and zip code) *
Your answer
Partner's Name (first and last)
Your answer
Partner's email address
Your answer
Estimated Due Date *
MM
/
DD
/
YYYY
How did you find out about the class/series?
Your answer
Will you allow photos to be taken of you/your partner during the series for educational and promotional purposes?
Your answer
How would you like to pay your $40 deposit for your Bradley Method Series
(NOTE: This option does not apply to those registering for a regular Bradley Method® Series) How would you like to pay the $20 registration fee for the Pregnancy 101 class?
This is the link to Karen's Bradley Method® Series Contract. https://docs.google.com/document/d/1b41blmObuRtfl5aHtzP7USQBN8l-uFxQhQ29LWWSCSM/edit?usp=sharing How would you like to sign it?
Are you interested in hosting a class or series?
Birth Attendant and Birth Place (optional for 101 class)
Your answer
# of children (optional for 101 class)
Your answer
Types of Previous Births (optional for 101 class) check all that apply
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