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BBC Full Series Registration
What you get when you take Birth Boot Camp:

*the full 10 week Birth Boot Camp course

*the student Field Manual

*Breastfeeding: The Ultimate MRE (Meal Ready to Eat) online class with 3.5 hours of additional education

*a custom Birth Boot Camp tote bag, tumbler, and pen

*weekly research resources

To register and reserve your spot in class, please complete the form below. Once this form is received I will contact you regarding sending payment for your deposit.

**A non-refundable deposit of $75 is required to guarantee your spot in class and to cover the cost of materials. You may pay this via check or PayPal. The remaining balance of $225 is due at the first class and may be paid via cash or check. You will receive a receipt during Class One. I also offer payment plans, so if that is an option you are interested in or need in order to take classes, please contact me for more information.

**Deposits are non-refundable as well as class fees are non-refundable after Class One. Please be sure you are committed to ten weeks of classes when registering. If you cannot attend a class, you may take a substitute online class (up to four per couple). If you would like to transfer to a fully online class, arrangements can be made to do so, but you will be responsible for additional fees that must be paid directly to Birth Boot Camp.

**Online make up classes. *I* do not set you up with the class. It is administrative and may take a day or two. I ask that you let me know when you want the class so that I don't have it scheduled at a time you can't watch it. You have 7 days to watch it. If you aren't able to watch it in that time frame, a fee will be charged $30 to reactivate it.

**In addition to teaching Birth Boot Camp, I am a Birth Boot Camp Doula. In the case that I am called to a birth during class night I will inform the class prior to our meeting time. We will then make arrangements to either 1) reschedule for a different night 2) push the series back a week 3) Have a sub come and teach the class 4) receive access to the online class

Mom's Name
Your answer
Partner's name
Your answer
Address
Your answer
Email
Your answer
Phone Number(s)
Your answer
Mom's Age
Your answer
Estimated Due Date
Your answer
Number of Children
Your answer
# of Medicated Births (if applicable)
Your answer
# of Unmedicated Births (if applicable)
Your answer
# of Cesareans (if applicable)
Your answer
# of VBACS
Your answer
Where are you planning to deliver your baby?
Name of Birth Place (if not home)
Your answer
Type of Care Provider
Name of Care Provider
Your answer
Do you have a doula?
If yes, who?
Your answer
How did you hear about Birth Boot Camp?
Your answer
How did you hear about me?
Your answer
How do you feel about taking childbirth classes?
Your answer
How does your partner feel about taking childbirth classes?
Your answer
PayPal email
Your answer
**A non-refundable deposit of $75 is required to guarantee your spot in class and to cover the cost of materials. You may pay this via check or PayPal. The remaining balance of $225 is due at the first class and may be paid via cash or check. You will receive a receipt during Class One. I also offer payment plans, so if that is an option you are interested in or need in order to take classes, please contact me for more information. **Deposits are non-refundable as well as class fees are non-refundable after Class One. Please be sure you are committed to ten weeks of classes when registering. If you cannot attend a class, you may take a substitute online class (up to four per couple). If you would like to transfer to a fully online class, arrangements can be made to do so, but you will be responsible for additional fees that must be paid directly to Birth Boot Camp. **Online make up classes. *I* do not set you up with the class. It is administrative and may take a day or two. I ask that you let me know when you want the class so that I don't have it scheduled at a time you can't watch it. You have 7 days to watch it. If you aren't able to watch it in that time frame, a fee will be charged $30 to reactivate it. **In addition to teaching Birth Boot Camp, I am a Birth Boot Camp Doula. In the case that I am called to a birth during class night I will inform the class prior to our meeting time. We will then make arrangements to either 1) reschedule for a different night 2) push the series back a week 3) Have a sub come and teach the class 4) receive access to the online class
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