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Live Class Registration Form
50$ deposit is due to reserve your spot in class. The remaining balance is due at the first class. You can pay through the link on my website or contact me to arrange payment.
Mom's Name *
Partner's Name
Estimated due date *
Email *
Where are you planning to have your baby?
Number of children
Were previous births medicated or unmedicated?
Who is your care provider?
How did you hear about Birth Boot Camp
How do you feel about taking childbirth classes?
How does your partner feel about classes?
Phone number *
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