Birth Boot Camp Registration
This registration form must be completed to reserve your spot in class.
Who is your Care Provider?
Where do you plan to deliver?
The Birthplace at Highland
Seeds of Grace Birth Center (Marshall, TX)
Which class are you planning to attend?
July 20 - Sept 21 (Thursdays 6-8pm)
Interested in a Private Class
Interested in an Early Pregnancy Class
Interested in a Refresher Course
Are you or your partner active Military?
How much would you like to be invoiced now?
The total cost of this course is $350 ($315 for active military). A $50 (non-refundable) deposit is required to reserve your spot in class.
Deposit - $50
Pay in Full - $350
Pay Military Rate in Full - $315
Request a Payment Plan
How did you hear about my class?
Social Media (FB, Twitter, Instagram, etc.)
Referred by a Friend? Let me know who I can thank :)
What do you hope to learn/take away from this course?
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