Hospital Series Registration
Birthing Person's name
How do they about taking a childbirth class?
Birth Partner's Name
How do they feel about taking a childbirth class?
Which series are you registering for?
August 22 - September 26 Thursdays at 6:30 pm
October 2 - November 6 Wednesdays at 6:30 pm
November 14 - December 19 Thursdays at 6:30 pm
January 16 - February 20 Thursdays at 6:30 pm
February 27 - April 2 Thursdays at 6:30 pm
How did you hear about me/Birth Boot Camp?
Who is your care provider?
What do you hope most to learn in our series?
Are you or your partner allergic to any foods or scents, such as essential oils? What is your allergy?
I understand that I will not be considered registered for the Training for an Amazing Hospital Birth series in which I am registering for until I have paid my deposit of $50. I understand that this deposit is non refundable. I understand that the remainder of the balance is due during the first class, and is non refundable. I understand that if this is an issue I need to speak to Carol Meadows prior to the first class session and make arrangements.
Thanks for your interest! When Carol gets this form she will send you an email confirmation with class details and payment information.
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