Deb's Course Booking Enquiry Form
Weekend courses with Registered Calmbirth Educator, Deb Peters in NZ.
(early birds, book 4 weeks before course starts $425).
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Mother's Full Name
First Name and Surname please
Baby's Expected Due Date
Which Calmbirth Course are you interested in booking on to?
Indicate Month, Year and location here please
Father's/Partner's/Support Person's Full Name
Landline - if applicable (please state n/a if do not have one)
Your Home Address
Who is your Lead Maternity Carer? (e.g. Midwife's Name, Obstetrician's Name? etc...)
How did you hear about the Calmbirth course?
Midwife / LMC
Word of Mouth / Friend
Childbirth Education Classes
Would you like?
Info to be sent to you by email?
To book on to a course right now?
Is there anything else you would like to let Deb know?
A copy of your responses will be emailed to the address you provided.
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