Birth Boot Camp Class Registration Form
Please complete this form and I will be in touch with you within 24 hours to complete the final steps of your registration. Thank you!
Hi there! I'm so excited to meet you. What's your name?
What's your partner's name?
How can I best contact you?
How old are you?
Congratulations on your pregnancy! When is your estimated due date?
How many kids do you have?
This is our first!
Have you had a medicated birth?
Have you had a unmedicated birth?
Have you had a cesarean?
Have you had a VBAC?
Where are you planning to have your baby?
Not Sure Yet!
Who is your care provider?
How do you feel about taking a childbirth class?
How does your partner feel about taking a childbirth class?
Which class(es) would you like to register for?
Birth Boot Camp Comprehensive: 10-Week Complete Preparation for an Amazing Birth ($50 deposit required)
Hospital Birth Class ($30 deposit required)
Out-of-Hospital Birth Class ($30 deposit required)
Early Pregnancy Class: Food & Fitness ($25 deposit required)
Refresher Class ($25 deposit required)
Comfort Measures: Amazing Coping Strategies for Labor ($25 deposit required)
Newborn Care Class ($25 deposit required)
Sibling Class (must be paid in full before our class)
Private Class ($75 deposit required)
Please tell me what you're most looking forward to about taking a Birth Boot Camp class, and anything specific you're hoping to learn. What are your goals for this birth?
By typing my name below, I grant to Hanan Webster of Treasured Birth Services the right to take photographs of me/us. I authorize her to use and publish the same in print and/or electronically. I agree that she may use such photographs of me/us, with or without my name, for any lawful purpose, including, for example, such purposes as publicity, illustration, advertising, and Web content.
How did you hear about my Birth Boot Camp classes?
Referred by family/friend
Referred by provider
Referred by My Family Birth Center
Birth Boot Camp website
Another doula referred me
Utah Doula Association
Utah Birth Forum
Referred by someone personally? Who can I thank?!
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