Childbirth Class Registration | Summer 2020
This comprehensive course will take place over four weeks, covering the following topics:

Healthy Pregnancy
Optimal Fetal Positioning
Stages of Labor
Comfort Strategies in Labor
Newborn Procedures
Postpartum Recovery
Life With a New Baby

Dates: Sundays, 6/28, 7/5, 7/12, 7/19
Time: 1:30-4:30 pm
Location: The Episcopal Church of Saints James and Andrew, Whiteman Room
8 Church St, Greenfield, MA 01301
Cost: Payment is based on a sliding scale with options of $200, $250, or $300. You can choose and complete your payment via paypal at the end of this form.

Most health insurance companies in MA will offer partial reimbursements for Childbirth Education.
HSAs will also typically reimburse for the remainder of the amount paid. You will receive an invoice as well as a certificate of completion at the end of the last class to submit to your insurance company.
Name of Birthing Person / preferred pronouns *
Your answer
Email Address of Birthing Person *
Your answer
Phone Number of Birthing Person *
Your answer
Name of Support Person (if bringing one) / preferred pronouns
Your answer
Contact Information of Support Person
Your answer
Estimated Delivery Date *
MM
/
DD
/
YYYY
Where are you planning to have your baby? *
Your answer
This course is comprehensive and therefore includes some images and topics that are potentially triggering to birthing people with a history of trauma. If you would like me to be aware of any triggers for you, please let me know here.
Your answer
Is there anything else you'd like me to know?
Your answer
How did you hear about the course? *
Your answer
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