The Best Birth Class Registration

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Class is going to be a lot of fun. You can expect a confirmation email once your registration is completed and you are added to a roster. Registrations get processed every Wednesday. If you have an urgent registration issue, please 817.733.6268.

Happy gestating,
Jillian Blakeman

First Name *

Last Name/s, Aliases, Etc *

Name of person attending w/you *

Relationship of birth partner *

Your email *

Your Phone number *

Your baby's due date *

YYYY

Number of previous births *

Anything you want or need me to know about this pregnancy? *

Things like...Rainbow baby, IVF, LGBTQIA*, single parent, any trigger warnings you would like, or if you are just super excited that you're having a baby!

How did you find about my class? *

I'm a patient at Origins Dallas

I'm a patient at Origins Fort Worth

Not a patient at Origins

Other:

Did you read the Policies and FAQs on the website? *

Yes

I had not yet, but I am doing it right now. https://originsbirthclass.com/home-2/

What location are you interested in? *

Origins Fort Worth

Origins Dallas

What class are you interested in? *

First Rodeo

Old Pros

Something between

I'm not sure and need help deciding

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