Birth Boot Camp Registration
Event Timing: July 3rd-September 4th, 2017 @ 6:30pm
Event Address: 5417 Acton Hwy #101 Granbury, TX 76049
Contact us at (817) 456-9353 or
Names (Mom and Dad)
Your answer
Your answer
Phone Number
Your answer
Please tell me a little about any previous pregnancies and births you've had.
Your answer
Where do you plan to birth? Healthcare provider? Due Date?
Your answer
Have you ever taken a childbirth preparation class before? If so, when and what type of class?
Your answer
I understand that a $50 deposit is due at sign up in order to reserve my spot.
Payment Options
Please send credit card payments via PayPal to
Cash is also accepted in person or at Clearview Chiropractic Life Center
*Balance is due the first night of class, please!
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