Childbirth Class Registration Form
This form is to register for April Francom's available childbirth classes. Once you have registered, I will contact you. Payment is due to reserve your spot in class. I accept cash, PayPal, or Venmo. If you have any questions, please email me at or text at 817-692-1014.
Mom's Name *
Partner's Name, if applicable
Email address *
Phone number *
Estimated Due Date *
Which class would you like to register for? *
Where do you plan to deliver your baby? *
How many previous births have you had? *
How did you hear about my classes? *
Are there any special circumstances surrounding this pregnancy that you would like me to know?
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