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)
Please tell me a little about any previous pregnancies and births you've had.
Where do you plan to birth? Healthcare provider? Due Date?
Have you ever taken a childbirth preparation class before? If so, when and what type of class?
I understand that a $50 deposit is due at sign up in order to reserve my spot.
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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