Class enrollment: Breastfeeding Empowered : Confidence Together and TummyTime! Method™

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I am looking forward to meeting you at the class. Please fill out the following form to enroll

Email *

Which Class or classes are you signing up for today?

Please note class dates are subject to change. You will receive email notification.

A. Breastfeeding Empowered Confidence Together Repeat Only if you have completed 1st 8 classes

B. Breastfeeding Empowered: CT Wednesdays September 13- November 1 4:30 -5:30 pm

C. TummyTime!Method™ Wednesdays Sept. 13 - Oct.4 3:00-4:00 pm

D. TummyTime!Method™ Wednesdays October 11-November 1 3:00-4:00 pm

this link should take you to a survey for best times and dates for these classes: https://forms.gle/DYD2jmBG72BhZNiy7

Other:

Required

Adults Names Please include any adults planning to attend *

Baby's Name

Birth Date of Baby or Due Date *

YYYY

Phone Number *

Email address if different from current email

Prices are: $120/4 classes for TTM, $200 for BE:CT/8 weeks, $80 for BE:CT repeat. Today I am paying for *

$200 Breastfeeding Empowered: Confidence Together

$120 TummyTime!Method™

$320 Both of above

$80 Repeat (good for a year of repeats)

$200 TT!M and Repeat Class

Other:

Payment Options *

PayPal https://paypal.me/JanetIbclc?country.x=US&locale.x=en_US

Venmo https://account.venmo.com/u/Janet-Dombro

Zelle 4082051234 and Janet is 1st name

Square Cash https://cash.app/$janetibclc

Other:

Cancellation Policy- Class Fee less 10% will be refunded before the start of the first class. You are welcome to attend make up sessions in future sessions. *

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A copy of your responses will be emailed to the address you provided.

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