Online New Moms' Talk Group Registration Form
Please fill out this mini-questionnaire so I can get to know you and your baby before we begin.
Due to the coronavirus outbreak, groups will meet online until further notice.
New moms with babies 0-12 months from anywhere in the world are welcome to join.
If you are NEW to our program, you will want to register for the "New Moms Talk Group"
- Spring 2 New Moms Talk Group: 6 Thursdays 5/6 to 6/10, $196, plus Topic Clinics Wednesdays at 11am - FULL
-Summer New Moms Talk Group: 6 Wednesdays, 10am-12pm ET 6/30 to 8/4
- Spring 1 "Deeper Dive 1": 4 Thursdays 5/6 to 5/27, plus Topic Clinics May Wednesdays at 11am
- May Deeper Dive Cohort - Pilot Program: 4 Tuesdays in May 11:00am; Topic Clinics Wednesdays in May 11:00am
Your registration is complete once you send in payment via one of these methods:
• Chase QuickPay or Zelle (
• Venmo (MaryEsther-Malloy)
• PayPal or PayPal Invoice (+ $3 service fee;
• Check - if using this method, please email
Mary Esther Malloy, MA
Mindful Birth NY
Which sessions would you like to attend? (all times Eastern Time)
SPRING 1 "DEEPER DIVE 1": 4 Thursdays, 1pm-2:30pm ET, May 6, 13, 20, 27; - $160
SPRING 2 NEW MOMS GROUP: 6 Thursdays, 10am-12pm ET, May 6, 13, 20, 27; June 3, 10 - $196
SUMMER NEW MOMS GROUP: 6 Wednesdays, 10am-12pm ET June 30, July 7, July 14, July 21, July 28, August 4 $196
MAY DEEPER DIVE COHORT - PILOT PROGRAM: 4 Tuesdays in May 11:00am + 4 Wednesdays in May 11:00am $100
Your Neighborhood (NYC) or City/State/Country (if outside of NYC area)
Where do you hear about the moms' group? (If Garrison Institute, please mention it here.)
Baby's Date of Birth
A few get-to-know you questions
Your responses can be super brief or pages long - however you would like to respond!
Why are you looking to join this talk group?
How was your baby's birth?
How was/is the early post-partum for you? (Challenges/things that have gone well)
How is parenting going for you today?
Any particular issues or topics you'd be interested to discuss?
Missed session and refund policy
Payment for the series is due before the first session, unless you make other arrangements with me. I can provide a full refund up to two weeks before the start date if I am able to fill your space; within the two week mark, I can provide a 50% refund if I am able to fill your space; otherwise, the fee is forfeited or credited to a future group. If I am called to a birth and have to reschedule a session, I will usually hold the make up the week following our regularly scheduled time, same day, time, location, etc. If you are unable to attend this make up, I will refund you the cost of this session.
Payment Information: - Please pay full amount before our start. If you previously paid the deposit of $100 through my website, then simply remit the remaining amount. Thank you!
Chase QuickPay or Zelle (
Request PayPal Invoice, +$5 fee
Mail a check (email Mary Esther at
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