Birth Boot Camp Class Registration Form
Hello! I look forward to having you in class! Classes are taught in American Fork on Thursday evenings. Please complete this form and I will be in touch with you within 24 hours to complete the final steps of your registration. Feel free to contact me if you have any questions. Thank you!
Mom's First & Last Name
Partner's First & Last Name
Preferred Method of Contact
Estimated Due Date
Where are you planning to have your baby?
Who is your care provider?
How do you feel about taking a childbirth class?
How does your partner feel about taking a childbirth class?
What are you hoping to learn during class?
Which class dates would you like to register for?
Jan. 7th - March 18th
April 15th - June 17th
June 24th - Aug. 26th
Sept. 2nd - Nov. 4th
How did you hear about Birth Boot Camp?
Referred by family/ friend
Referred by midwife/ OB
Birth Boot Camp website
Another doula referred me
Utah Doula Association
Utah Birth Forum
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