Birth Boot Camp Registration
Event Timing: August 24th-October 26th, 2017 @ 6:30pm
Event Address: 5417 Acton Hwy #101 Granbury, TX 76049
Contact us at (817) 456-9353 or ktemple@birthbootcamp.com
Names (Mom and Dad)
Your answer
Email
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
What are you hoping to learn from this class?
Your answer
I understand that a $50 non-refundable deposit is due at sign up in order to reserve my spot.
Required
Payment Options
Please send credit card payments via PayPal to ktemple@birthbootcamp.com
Cash and major credit/debit cards accepted in person.
*Full balance ($300) is due the first night of class, please!
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