Birth Boot Camp Registration
Please fill out the form below to sign up for my next 10-week series.
**Your spot is not reserved until you submit your $50 deposit.**
Estimated Due Date
Number of Children
Previous Births (check all that apply)
Vaginal Birth After Cesarean (VBAC)
Where Are You Planning to Have Your Baby?
I do not currently have a care provider
How did you hear about this class?
Birth Boot Camp online instructor directory
Social Media (Facebook, Twitter, Instagram, etc.)
Print advertising (business cards, pamphlets, etc.)
How do you feel about taking a childbirth class?
How does your partner feel about taking a childbirth class?
I understand that $50 is due upon sign up to reserve my spot
Send me a copy of my responses.
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