20 minute MINI Babywearing Consultation


Please complete this form to secure your time for your session at Indigo Physiotherapy, 600 Wyndhurst Ave, Suite 102
Baltimore, MD 21210, August 20, 2019
Name *
Your answer
Email address to confirm time: *
Your answer
Telephone number *
Your answer
Emergency contact and phone number *
Your answer
Do you have any physical limitations or previous injuries or diagnosis that may limit your babywearing? *
If yes, please share below:
Your answer
Please share about your baby, name, how old, how much does he weigh, anything you want to share with me: *
Your answer
What are you hoping to accomplish with the session? *
Your answer
Do you have a specific carrier or skin-to-skin garment from my teaching library you would like to try on? *
Your answer
I will email to confirm your session time.
Check your first choice time selection. After reading what you want to accomplish in the session, I may recommend two 20 minute sessions if I feel more time is needed. *
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Check your second choice time selection. *
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I give permission for information, photos and/or videos taken during my consult or those I provide by electronic means to be used in articles, studies or presentations for educational purposes, with identifying information removed. *
I understand a 20 minute mini consultation is $25, and payment is required before the appointment time is confirmed. There is a $10 cancellation fee. You can pay here: https://www.paypal.me/breastskinsling/25 *
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