Class enrollment: Breastfeeding Empowered : Confidence Together and TummyTime! Method™ 
I am looking forward to meeting you at the class. Please fill out the following form to enroll
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Email *
Which Class or classes are you signing up for today?
Please note class dates are subject to change. You will receive email notification.
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Adults Names Please include any adults planning to attend *
Baby's Name
Birth Date of Baby or Due Date  *
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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  *
Payment Options *
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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