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
Email address *
Course Enrolment
Mother's Name *
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Mailing Address *
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Preferred Phone *
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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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Birth Companion Name *
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Relationship to you (e.g. spouse, partner, doula etc.) *
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Intended place of birth (name of hospital, birth centre or home)
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Care Provider Name and Title (e.g. Obstetrician or Midwife)
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Is this your 1st, 2nd, 3rd etc. baby? *
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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.
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Is there any important information you wish me to be aware of before classes commence?
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How did you find out about my classes? *
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**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: (bonuses are not included in this option)
Direct Deposit Details:
Bank: Commonwealth Bank
BSB: 062-692
A/C: 37571348
Name: Christa Buckland

***Please note: 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.***
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
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