Registration Form for Warm Scarf Doula: Comprehensive Childbirth 6 week Series
Welcome! And Congratulations on your growing family.

Please Note: The group class is located in Katie's home in Catonsville, MD near Woodbridge Elementary School (address will be sent as part of welcome email). This is also home to a couple indoor kitties who will be kept in another room during class. If you have any specific requests, please indicate them below. If you are severely allergic to cats, please contact me directly as I may be able to move the class to my backup location, offer you a private class in your home or refer you to another childbirth class in the area.

PAYMENT: A PayPal invoice will be emailed to you within 3 days. If you would like to pay over time, we can arrange a payment plan, indicate so below in the coupon answer of the form and the number of payments. Full payment is due 48 hours before the first class in the series. Payment reserves your seat in the class. If you cancel more than 48 hours before the first class, you will receive a full refund. There will be no refunds for canceling less than 48 hours before the first class in the series, for not showing to the first class or for canceling after the first class.

Thank you!
Katie Tighe, Doula, Childbirth Educator, SpBCPE
warmscarfdoula@gmail.com | 864.356.3487

Please indicate which Comprehensive Series you wish to register for: *
Required
Birthing Person's Name *
Your answer
Partner/Birth Partner's Name
Your answer
Address *
Your answer
Email (For: Welcome email, invoice, weekly follow up emails and other important communication. NOT for newsletter unless otherwise granted permission.) *
Your answer
Do you want to join the Warm Scarf Doula newsletter email list? (At MOST 1 email per month.) *
Partner's Email (If he/she would like their own copy of the weekly emails with reminders and follow up info)
Your answer
Cell Phone Number *
Your answer
Age
Your answer
Estimate Due Date *
MM
/
DD
/
YYYY
Name of your new baby (IF you have a name picked out and IF you would like to share)
Your answer
Number of previous births & anything significant about a past birth you wish to share?
Your answer
Where are you planning to have your baby? Hospital/ Birth Center/ Home? OB/ Midwife/ UC? *
Your answer
How do you feel about taking childbirth classes?
Your answer
How does your partner feel about childbirth classes?
Your answer
Do you or your partner have any highly sensitive food allergies, such as nuts? (Good to know for snack breaks.) *
Your answer
Do you have any special accommodations or requests for yourself or your partner during class? Or Additional Notes for Instructor:
Your answer
Coupon/ Promo Code? (Limited Availability, please present physical flyer or coupon to Instructor at the first class.) or Payment Plan?
Your answer
How did you hear about this particular Childbirth Series with Katie Tighe? *
Required
Thank you!
Check your email over the next few days, I will email you an invoice. A release of liability form will also be in the Welcome email for your review. Please contact me if you have any questions.
I look forward to working with you during the 6 week series! -Katie Tighe
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