Birth Boot Camp: Reboot Refresher Class
Class Dates: Every Saturday Jan 5 - Mar 9, 2019 (pick one date for your class)
Class Time: 1:30 -5pm
Location: The Happy Mama Place, Wilkes Barre Pa
1325 North River Street, Plains, Pa 18702 (Tuft-Tex Complex) (Your GPS may say Wilkes Barre)
Contact Info: Heather Whitcomb (570)985-3845, Heather@ButterflyDoula.com,
Cost: $75

You MUST pre-register for this class so that I can have enough workbooks and supplies available.


Full class description and other class options can be found at www.ButterflyDoula.com/childbirth-classes/

Financial Agreement
The cost of this class is $75. A non-refundable deposit of $25 is due with your registration. The balance is due at the beginning of class. You may pay by cash or check by mail, paypal or with a credit card in person at the first class. Any refunds given will be at the discresion of the instructor. By completing this form you are agreeing to these financial terms.

Please make checks payable to Butterfly Birth Services LLC.

Payments can be mailed to,
Heather Whitcomb
33 Elmer St
Ashland, Pa 17921

Paypal address Heather@ButterflyDoula.com

Please note that in the event of inclement weather, sickness or my need to attend the birth of a doula client, your class may need to be rescheduled. While this is a rare occurance it is a possiblity. Every effort will be made to reschedule your class asap.

Please choose your class date (pick one) *
Mother's Name *
Your answer
Partner's Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Estimated Due Date *
MM
/
DD
/
YYYY
Please type, I (your name) AGREE, if you have read and agree to all of the information at the top of this registration form. *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service