Birth Boot Camp Registration
This registration form must be completed to reserve your spot in class.
Name
Your answer
Partner's Name
Your answer
Email Address
Your answer
Phone Number
Your answer
Due Date
MM
/
DD
/
YYYY
Who is your Care Provider?
Your answer
Where do you plan to deliver?
Which class are you planning to attend?
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.
How did you hear about my class?
Referred by a Friend? Let me know who I can thank :)
Your answer
What do you hope to learn/take away from this course?
Your answer
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