Registration: Childbirth Preparation Intensive
Please complete the form below to register for our Childbirth Preparation Intensive Weekend.

We have classes available from December through March - select the weekend that you'd like to register for further down in the form.

CLASS INFORMATION:

The registration fees are as follows:

* The Basics of Birth (Saturday 12-6pm) - $300
* Advanced Comfort Measures (Sunday 12-3pm) - $150*
* In Person Childbirth Preparation Bundle (Both classes) - $375

Shortly after completing this registration form, you will receive an email with a link to your invoice, and information about the class.

A minimum of 4 families must register for class to be held in-person. If this requirement is not met, classes will be held VIRTUALLY, or at our home office in Manassas, Virginia.

Classes are held at a private business establishment in Fairfax County, Virginia.
Exact address will be provided once registration is complete.

If you are unable to attend classes to pregnancy loss, premature birth, or other pregnancy-related challenges, a refund will be given.

Withdrawals made less than 30 days before the start date will not receive a refund (unless it's for a reason above).

For any questions/concerns, please email jaely@ourvillagecircle.com.

*Note: First Time Birthers MUST register for The Basics of Birth to participate in Advanced Comfort Measures.
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Email *
Full Name *
Partner's Name
Email Address *
Partner's Email (if they would like to receive class-related emails)
Phone Number *
City and State of home residence
Estimated Due Date *
How did you hear about us?
Which class are you registering for? *
Note: First time parents MUST register for The Basics of Birth if they wish to take Advanced Comfort Measures!
I am having a...
Clear selection
What number birth is this for you?
Clear selection
Prior birth experience:
Please indicate if you have any prior birth stories, if they were vaginal or cesarean, if you are planning for a VBAC, or any other information you think would be helpful for me to know.
I plan to birth my baby... *
Please list your hospital or birth center
Please list your provider
My top goals for taking this class are... *
Feel free to share as much as you would like.  The more I know about what you know or think about birth, the better I can tailor our class to meet your expectations!
I am most excited to be a parent because... *
My biggest fears about childbirth and/or postpartum are... *
What are you looking forward to most? Meeting your baby for the first time? Feeding your baby? Showing your baby how to do new things? Whatever is on your heart!
 *
Books or other resources I've consumed related to pregnancy, birth, breastfeeding, infant care, or postpartum include... *
Feel free to include podcasts, audiobooks, or documentaries you've watched as well! It's okay to say "none!"
IN PERSON CLASS INFORMATION:
The registration fees are as follows:

* The Basics of Birth (Next class: September 17, 12-6pm) - $300
* Advanced Comfort Measures (Next class: September 18, 12-3pm) - $150
* In Person Childbirth Preparation Bundle (Both classes) - $375

Shortly after completing this registration form, you will receive an email with a link to your invoice, and information about the class.

A minimum of 4 families must register for class to be held in-person. If this requirement is not met, classes will be held VIRTUALLY or at our home office in Manassas, Virginia.

Classes are held at a private business establishment in Fairfax County, Virginia.
Exact address will be provided once registration is complete.

If you are unable to attend classes to pregnancy loss, premature birth, or other pregnancy-related challenges, a refund will be given.

Withdrawals made less than 30 days before the start date will not receive a refund (unless it's for a reason above).
A copy of your responses will be emailed to the address you provided.
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