Register for Individual Classes
Email address *
Name *
Name of Birth Support Attending Class With You & Relationship to You
Phone Number *
Estimated Due Date *
MM
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DD
/
YYYY
Birthing Location *
Individual Classes-Please Choose All That Apply *
Required
Do you desire to have a private class, create your own group class or have a virtual class? *
If you would like to create a in-person or virtual class, which day/time do you prefer? *
Payment Options *
If you have any questions, please don't hesitate to contact me! -Rhonda Fellows
A copy of your responses will be emailed to the address you provided.
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