Uplift Parenting Baby Carrier Consult Form
Name *
Your answer
Pronoun i.e. they/them, her/she, ze/zir, he/him *
Your answer
Email to confirm and invoice *
Your answer
Address *
Your answer
Phone number *
Your answer
Age of child(ern) to be worn and their clothing size? *
Your answer
Other caregivers that will be participating and their pronouns? *
Your answer
Class desired *
What carriers do you have on hand? *
Your answer
What carriers and carries are you most familiar with? *
Your answer
What are you hoping to learn? *
Your answer
Medical concerns for wearer/wearee/both? (i.e. preterm/premature birth, arthritis, major surgeries, injuries, or limitations that could effect wearing) *
Your answer
What days work best for you? *
Required
What times work best for you? *
Required
Any additional information you think we should know that would be helpful to us best supporting you?
Your answer
How did you hear about us?
Your answer
Coupon Code
Your answer
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