Registration Form for Warm Scarf Doula: Birth Planning Doula Support Consultation
Welcome! And Congratulations on your growing family.

This is a one on one meeting with you (birth partner is welcome if you would like them present during the consultation) to discuss your dream birth and put onto paper an organized and well thought out plan to share with your care providers.

Goals of the consultation:
-For you to be heard; talking thru your desires and fears can be extremely helpful during pregnancy.
-For you to gain more confidence in your choices and decisions.
-For you to have a birth plan that you can proudly take to your care providers & birth team to discuss your unique priorities.

This is not a childbirth education session. However, I will do my best to answer the questions that you have and give you information so you can make informed decisions. If this is your first birth (or if you are planning a VBAC with little information from your previous birth), I highly recommend registering for one of my childbirth education series where we will also discuss birth plans along with many more hours of information about late pregnancy testing & procedures, labor, birth, immediate postpartum and more.

Included in cost of consultation:
-1-2 hour private meeting at the location of your choosing (wherever you feel safe and comfortable, no need to clean your home before our meeting!)
-Follow up emails.
-A completed birth plan ready for your final touches & printing (to be sent to you as a PDF or a Word Document file).

Cost: $100 (If you are a mailing list subscriber, please indicate below for the discount.)

PAYMENT: A PayPal invoice will be emailed to you within 3 days. If you prefer another payment option, please indicate so in the form below. Full payment is due 48 hours before the consultation. If you cancel more than 48 hours before the consultation, you will receive a full refund. There will be no refunds for canceling less than 48 hours before the consultation or for not showing up to the consultation at the arranged time and place. If for some reason I am not able to make the consultation, I will first offer to reschedule then offer you a full refund if rescheduling is not an option.

Scheduling: We will discuss over the phone a good time to schedule this consultation. Or if you prefer, we can text.

Thank you!
Katie Tighe, Doula, Childbirth Educator, SpBCPE
warmscarfdoula@gmail.com | 864.356.3487

When is a good time of day to call to schedule? (List a couple options in the next few days, Thank you.) *
Your answer
Birthing Person's Name *
Your answer
Address *
Your answer
Email (For: Welcome email, invoice, follow up emails and other important communication. NOT for newsletter unless otherwise granted permission.) *
Your answer
Do you want to join the Warm Scarf Doula newsletter email list for updates, specials & giveaways? *
Are you already an existing WSD mailing list subscriber? (Special offer for subscribers.) *
Cell Phone Number *
Your answer
Age
Your answer
Estimate Due Date *
MM
/
DD
/
YYYY
Name of your new baby (IF you have a name picked out and IF you would like to share)
Your answer
Number of previous births & anything significant about a past birth you wish to share?
Your answer
Where are you planning to have your baby? Hospital/ Birth Center/ Home? OB/ Midwife/ UC? *
Your answer
What made you decide to hire Katie to assist you in the birth plan writing process?
Your answer
Do you have any special requests? Or Additional Notes for Katie:
Your answer
How did you hear about this particular service offered by Katie Tighe? *
Required
Thank you!
Check your email over the next few days, I will email you an invoice. A release of liability form will also be in the Welcome email for your review. Please contact me if you have any questions.
I will call you to schedule this consultation soon! -Katie Tighe
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