Aware Birth Classes Bradley Class Registration
Location: at our home: 1280 S 1200 E Clearfield, UT 84015 or at a local birth center
Email address *
Pregnant Mother's Name *
Phone Number *
Husband/Partner's Name
Husband/Partner Phone Number *
Anticipated Due Date
MM
/
DD
/
YYYY
Street Address, City, State *
Zip Code *
Will both you and your partner commit to attend at least 10 of the 12 classes *
Required
How did you hear about Aware Birth Classes
Do you agree to pay a deposit of $50 before the end of the 1st class and the remaining balance by the end of the series?
Any comments, special circumstances, preferences, or questions for instructors?
Refer a friend? (Name and contact info)
Submit
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