HypnoBirthing® Registration
hosted by Milagro Birth @ www.milagrobirth.com
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Mother's name: *
Who will be attending class with mother? *
Name and relationship
Email Address *
Mailing Address: *
Phone number *
Estimated Due Date *
Where do you plan on birthing your baby? *
To reserve your spot in class, send a $150 deposit. Remainder of $200 due at first class. *
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