Birth Boot Camp Registration: Tuesday class, Oct. 16th -- Dec. 4th, 2018
(No class Nov. 6th or Nov. 20th) Look forward to meeting you! Feel free to contact me with any questions: arecord@birthbootcamp.com or 214-208-0550
Mom's Name *
Your answer
Partner's Name
Your answer
Email address *
Your answer
Phone number
Your answer
Estimated Due Date *
MM
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DD
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YYYY
Number of Pregnancies
Your answer
Where do you plan to have your baby? *
Who is your Midwife or Doctor?
Your answer
How did you hear about Allison's Birth Boot Camp Classes?
Your answer
How do you feel about taking childbirth classes?
Your answer
How does your partner feel about taking a childbirth class?
Your answer
Do you have any specific goals related to your upcoming birth? If so, what are they?
Your answer
Options for payment of $35 non-refundable deposit to reserve your place ($290 balance due at our first session) or $325 tuition *
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