Hypnobirthing Australia™ Courses
Please fill out the form below to enrol in one of my Hypnobirthing Australia™ courses. If you have any questions feel free to contact me via email or phone.

Christa Buckland
BHlthSc (Health Promotion)
Doula, Hypnobirthing, Online Programs
0422 229 312
christabuckland@outlook.com
www.ChristaBucklandDoula.com 

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Email *
Course Enrolment
Mother's Name *
Mailing Address *
Preferred Phone *
I wish to enrol in a: *
Please select the group course date you wish to attend or select 'other' if booking a private session(s) with me: *
Estimated Due Date (EDD) *
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DD
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YYYY
Birth Companion Name *
Relationship to you (e.g. spouse, partner, doula etc.) *
Intended place of birth (name of hospital, birth centre or home)
Care Provider Name and Title (e.g. Obstetrician or Midwife)
Is this your 1st, 2nd, 3rd etc. baby? *
Is this birth a VBAC (Vaginal Birth After Caesarean)? *
I teach group classes in my home. In order to ensure that I can provide a safe and comfortable environment for all please let me know if you have any dietary requirements, allergies or other needs.
Is there any important information you wish me to be aware of before classes commence?
How did you find out about my classes? *
Required
**PLEASE CLICK THE SUBMIT BUTTON AT THE BOTTOM OF THIS PAGE**
The payment information below includes links to the various payment options. Those links will open in a new tab/window. Please remember to click the SUBMIT button at the bottom of this page so that I receive your enrolment details! A copy of this form will be emailed to you for your records from "Google Forms". Please check your junk/spam folder. :)
Payment Information: $495 (Group course)
Fee includes your Hypnobirthing Australia/Hypnobubs folio, 4 x MP3 tracks, ebook and complimentary birth debrief session.

You have 2 payment options for the group course:

OPTION 1: Pay the full amount of the group course now and receive TWO BONUSES - instant access to Mastering Affirmations Mini Course and Effective Birth Plans online course (over $300 of additional value). Click here: https://www.boldbeautifulbirth.com/offers/3abtVivT


OPTION 2: Pay a $150 (non-refundable) deposit to hold your place in the group course you have selected. The remaining $345 is due 7 days prior to course start date. You will receive instant access to my Mastering Affirmations Mini Course with this option. Click here: https://www.boldbeautifulbirth.com/offers/5qwBA93L


Alternatively, you can send payment via direct deposit or PayPal: (bonuses are not included in this option)

Direct Deposit Details:
Bank: Commonwealth Bank
BSB: 062-692
A/C: 37571348
Name: Christa Buckland

OR

PayPal: www.paypal.me/christabuckland

Bold Beautiful Birth Antenatal Support Package
The Bold Beautiful Birth Antenatal Support Package includes the following:
- Hypnobirthing Australia group course PLUS
- 8 online modules
- 8 workbooks
- weekly group calls throughout your entire pregnancy
- 2 x private coaching calls
- Mastering Affirmations Mini Course
- Effective Birth Plans course
This package provides the ultimate combination of hypnobirthing and doula support during your pregnancy!

There are two payment options:

If you are paying in full ($997), please pay via this link: https://www.boldbeautifulbirth.com/offers/E26Nt5eu

If you are choosing the payment plan (4 monthly payments of $297 - you will receive instant access after the first payment), please pay via this link: https://www.boldbeautifulbirth.com/offers/qGhuF4PH

REFUND POLICY
For group classes:
Cancellations/refunds cannot be accepted within 7 days of the course start date.  At this time, refund (of the $345 balance) can only be given in exceptional circumstances.

For private sessions:
Please note refunds cannot be given for change of mind or change of circumstances once you have commenced your sessions and received your materials. I will be as flexible as I can with changing dates to suit your schedule however there is no refund if you have the baby prior to us completing our sessions. Course fees are not transferrable to any other service.
Please check the box below to acknowledge that you have read and understand the refund policy above. *
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