Birth Boot Camp Class Registration
Mom's name *
Your answer
Partner's name *
Your answer
Class to enroll in (check all that apply) *
Required
Contact email address *
Your answer
Contact phone number *
Your answer
Please tell me about any previous pregnancies and births you have had. *
Your answer
Tell me about where you plan to birth, your health care provider, and your due date. *
Your answer
Have you had ever taken a childbirth preparation class before? If so, when and what type of class? *
Your answer
How did you hear about Victory Doula and Birth Services? *
Your answer
To reserve your spot in class, please pay a $50 deposit PER CLASS enrollment here: https://squareup.com/store/victory-doula-and-birth-services The balance is due the first night of class. Thank you!
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