Body Literacy & Natural Contraception Online Class Series, Fall 2019
Please fill out this form as the FIRST STEP to register for the Body Literacy & Natural Contraception online class series with Rosemary Roberts, certified Fertility Awareness Educator and Sexual/Reproductive Health Educator.

Classes will be held via videoconference on Sundays, 4 - 6:30 pm (Pacific Standard Time): 11/3, 11/10, 11/17, [two weeks off], 12/8, 12/15. *Note: the first class, on 11/3, will end at 6 pm PST, whereas the others will go to 6:30 pm PST

This class is designed for people with the capacity to cycle. It is open to folks of all gender identities and expressions, sexual orientations, and family/relationship structures. If you have ovaries, and want to learn more about how awesome they are, this is the place for you!

The cost for the whole class series is $225, with an option to pay $275 to include a one-hour follow-up individual session at a later date (this option is HIGHLY RECOMMENDED if you plan to use FAM as your primary method of birth control, and this is a significant discount from my normal individual hourly rate.)

At the end of the form you will find directions on how to FINALIZE YOUR SPOT in the class with your $50 deposit. Please note that space is limited, and registration is not complete until your deposit has also been received, unless you have made prior arrangements!

Thank you so much, and I look forward to working with you! Please contact me with any questions, including if the cost is prohibitive and you would like to discuss payment plans or alternatives: rosemary@wombsage.com.

Rosemary Roberts, FAE, S/RHE, ICCE, CLE, MSc
Email address *
What is your name? *
Your answer
Where do you live (City/State and/or Country) and what time zone are you in? *
Your answer
What pronouns do you prefer? *
How old are you? *
Your answer
How did you hear about this class? (check all that apply) *
Required
How would you rate your current knowledge of menstrual cycles and reproductive health? *
complete beginner!
familiar with the subject, and looking forward to learning more!
How would you rate your current knowledge of Fertility Awareness/FAM? *
complete beginner!
familiar with the subject, and looking forward to learning more!
What is your motivation for learning FAM at this time? (check all that apply) *
Required
Are you going to take advantage of the reduced rate for a private follow-up session? A follow-up session, in which I will review your charts and discuss any lingering questions with you, is highly recommended if you plan to use FAM as your primary method of contraception! *
Is there anything else you would like to share about your experience with the material or your goals for the class?
Your answer
IMPORTANT! YOUR REGISTRATION WILL ONLY BE COMPLETE ONCE YOUR $50 DEPOSIT HAS ALSO BEEN RECEIVED!
As space is limited, a $50 deposit is necessary to reserve your spot. If this presents a burden to you, please get in touch to talk about it.

Follow this link for Venmo: www.venmo.com/wombsage
Follow this link for PayPal: http://paypal.me/wombsage

If you would prefer to send a check in the mail, or pay me in person if you are local, please get in touch for details: rosemary@wombsage.com.


PLEASE READ THE FOLLOWING AND SIGN BELOW

Your remaining balance will be due by the end of the day before our first class (Sunday, November 3rd).

Deposits are non-refundable, but if you have to cancel for any reason, your deposit can be carried over toward a future class. If for any reason I have to cancel the class, all deposits will be refunded.

I am not a doctor, nor do I have medical training. I do not diagnose, treat or cure disease, nor do I practice any hands-on therapy. This information is presented to you for educational purposes only.

As with any method of contraception, there is always room for error. When practiced perfectly, sympto-thermal fertility awareness has been shown to be up to 99.6% effective at preventing pregnancy (https://www.ncbi.nlm.nih.gov/pubmed/17314078), but the average user doesn't necessarily practice FAM "perfectly" at all times, and typical use ratings are between slightly and significantly lower, depending on the specific rules of the method in question. Therefore, it must be understood that attending this class does not necessarily guarantee the desired outcome, and you, the participant, must claim full responsibility for your use of this method and the information received in this class, as well as for you own health. I, Rosemary Roberts, cannot be held liable for any outcomes that deviate from your expectations.
Please type your name to confirm that you have read and understand the above *
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