Birth Boot Camp® Class Registration
Thanks for your interest in my Birth Boot Camp® series! To register, please fill out this form. To keep classes small and comfortable, space is limited, so $50 non-refundable deposit is required at registration to hold your spot in class. For more information about me and Birth Boot Camp® classes, please email me or visit my website at www.naturallyinspiredbirth.com

I will contact you with confirmation of enrollment and detailed class information as the start date approaches.

If you have questions in the meantime, feel free to contact me at aboogaerts@birthbootcamp.com

Mom's first and last name
Your answer
PayPal email address
please be sure to double check spelling
Your answer
Mom's email address
please be sure to double check spelling
Your answer
Facebook name
you'll be added to a "secret" group just for our class, where we can interact between classes. I'll post helpful links, recaps and updates. If you prefer not to be added, just enter "x".
Your answer
Phone number
Your answer
Dad's first and last name
Your answer
Dad's email address
please be sure to double check spelling
Your answer
Mailing address
Your answer
Estimated due date
Your answer
Number of children
Your answer
Number of medicated births
Your answer
Number of unmedicated births
Your answer
Number of cesarean births
Your answer
Which series would best suit your needs based on your estimated due date? We recommend starting between 20 and 30 weeks.
A full series is 10 weeks, so, in theory, we would finish prior to your estimated due date. Contact me if you have special circumstances. There is almost always a solution! :)
Who is your care provider? (your doctor or midwife)
Your answer
How did you hear about Birth Boot Camp? (who can I thank?)
Your answer
What do you hope to gain from taking my classes?
Your answer
How would you like to be invoiced?
Do you have any questions about Birth Boot Camp or my class schedule?
Your answer
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