Childbirth Course Registration
***note that all classes are currently being hosted virtually via Zoom***

Each class is limited to the first 5 registrants to ensure quality mentoring. A $50 deposit is required to hold your spot; any remaining balance will be due at the beginning of class. Payment can be sent via Venmo (@sarah-kelchner) or check or money order to Sarah Kelchner 3284 Thompson Road Cazenovia NY 13035. Please email me if you have any questions or would like to arrange a phone call prior to registration at cazdoula@gmail.com.

Upcoming Classes (see website for full descriptions):

6 Week Hospital Course
$250
Thursdays 6:30-9pm, April 15 - May20

4 Week Homebirth Course
$200
Saturdays 1-3:30pm, April 24 - May 22

Email *
Which class are you interested in attending? *
Please specify date of preferred class and/or Estimated Due Date *
Name *
Anyone planning to attend your birth is welcome and encouraged to attend classes. Please list birth partner, doula, and/or other support persons and their relationship to you here.
Mailing Address *
Phone Number(s) *
email(s) *
Preferred Method(s) of contact *
Required
Care Provider and Planned Birth Location
Estimated Due Date
MM
/
DD
/
YYYY
Do you have any special needs or circumstances you would like me to be aware of?
Total number of pregnancies, including this one?
Is/was there anything remarkable about your pregnancy/ies that you would like to discuss?
How did you hear about Caz Doula? *
***Referral Discount*** For every student you refer to this or a concurrent class series, 10% will be deducted from the cost of tuition for you AND your referral. Please list names of referrals here to receive discount. Referral discounts are available up to the date of your last scheduled class.
Do you have any additional questions?
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