Request edit access
Hypnobirthing Australia Classes
To book in for your Hypnobirthing Australia Classes please fill in the following form, be sure to submit & make your payment either in full or with the required deposit.
Other services being, Placenta Encapsulation & Birth Doula Services, do require their own booking forms which are available by returning too
select the desired "Service" & follow the prompts.
If you have any questions please feel free to contact me using the "Contact Me" option in the websight at
I wish to enrol into a
Group Class $550.
Private Class $970
Group Class dates are viewable in "Events"
Private class dates are made by contacting me & via arrangement. Which Group Class Dates are you booking into? or what Private Class dates were arranged?
What is your Estimated Due Date
If you have a birth companion what is there name?
What is their relationship to you (e.g. partner, doula, friend)
Intended Place of Birth (
of hospital, birth centre, home)
Care Provider & Name (e.g. Midwife, Obstetrician)
Is this your 1st 2nd 3rd 4th etc baby?
Is this birth a VBAC (vaginal birth after caesarean)
I teach classes in my home. In order to ensure a safe & comfortable environment for all please let me know if you have any dietary requirements, allergies or other needs.
Is there any other important information that you would like me to be aware of before classes commence ?
How did you find out about my classes
HypnoBirthing Australia Websight
Is this HypnoBirthing Australia Class purchase a part of your Doula & HBA Class purchase or will you be enquiring about Doula Services with me for this pregnancy ? Discounts may apply to selected Doula Services when Hypnobirthing Australia Classes & Doula services are combined. Please see Doula services at
Thankyou for your booking. Please be sure to press submit at the bottom of this page & make payment at
by returning to the buy now page. Fee's include your Hypnobirthing Australia classes, your Folio & 2 Hypnobirthing Australia downloadable Practice Albums which you will receive in person at your first class. To hold your space please submit this booking form & pay in full or with your $150. for group classes or $200. for private classes, Non Refundable tuition deposit. Final Payment is due 7 days prior to class start date. ******Please Note Cancellations/ refunds cannot be accepted within 7 days of course start date. At this time refund (of the $400. balance for group classes or $770. Balance for Private classes ) Can only be given in exceptional circumstances******* When Purchasing a variety of my birth related services please be sure to submit the individual booking form for each service.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service