Private Class Intake Form
Please fill out the following form so that we may accommodate your needs for a private class. Please note that filling out the form does not commit you in any way- this is simply an inquiry form. We do our best to meet the needs of everyone in our community, but can not always fulfill requests for private classes due to instructor availability and time constraints.
Name *
Your answer
Email Address *
Your answer
Phone number *
Your answer
Due Date *
MM
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DD
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YYYY
City of Residence *
Your answer
Planned place of delivery (for prenatal classes)
Your answer
What class(es) are you interested in taking? *
Required
What would be some possible times that would work for your schedule? (Please keep in mind that the more availability you have, the easier it is to schedule.) *
Your answer
What topics to you hope to have covered in your class? *
Your answer
Is there a certain philosophy or style that resonates with you regarding this class?
Your answer
Anything else worth noting that may help us in scheduling this class for you? (Expecting twins, medical considerations, special situation, etc.)
Your answer
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