GentleBirth Workshop Registration Form
Thank you for your interest in the GentleBirth Hypnobirthing Workshop. Please complete this registration form and click submit when done.

Once registration has been received, you will receive an invoice to the email address provided below to reserve your seat in the workshop.

Please email me at nicole@scbirth.com or text me at 864-251-5629 if you have any questions.
Expecting Parent Name:
Expecting Parent Occupation:
Support Parent/Person Name:
Support Parent/Person Occupation:
Email Address:
Phone Number:
Your expected birth location will be:
Name of Hospital or Birth Center:
Is this your first birth?
Clear selection
Guess Due Date:
MM
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DD
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YYYY
Do you have private health insurance?
Clear selection
GentleBirth Workshop Start Date of Interest:
MM
/
DD
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YYYY
Have you used GentleBirth in the past? (App or Workshop)
Clear selection
Why have you chosen GentleBirth to prepare for your baby's birth?
What are you hoping to learn in childbirth education classes?
How did you hear about GentleBirth?
Do you have any special circumstances (medical, dietary, mental, previous trauma) that you would like me to know about in confidence?
Thank you for completing the registration form. I look forward to meeting you in class!
Submit
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