Above & Beyond Birth Workshop Registration Form
I'm delighted you're interested in the Above and Beyond Birth Workshop! A lot of preparation has gone into developing this workshop, and I am confident you will find it extremely informative, helpful and fun!
Please fill out this form to register for The Aussie Doula and Company's 2-day, 6 hour birth workshop hosted by Harvest Harrisburg Church in Harrisburg, NC.
If any of the questions do not apply, please put N/A. Each expectant mother is encouraged to bring her partner or someone to help her with the exercises.
The registration fee for the class is $140.00, with $25 of that amount a non-refundable deposit. If you need to cancel your registration, please do so at least 48 hours before the class begins to receive a refund, less the deposit. Alternatively, you may transfer your registration to a future workshop or to another couple. In cases of emergencies, a full refund will be issued.
If you have any questions, please feel free to contact the instructor, Karen Gartner: 704-980-8973 or makebirthbetter@gmail.com
Which workshop would you like to sign up for? *
Name *
Your answer
Phone Number *
Your answer
Address *
Your answer
Email Address (you will receive important emails about the class through this email) *
Your answer
Partner's Name (if Not Applicable, please put N/A)
Your answer
Partner's Email Address (if not applicable, put N/A)
Your answer
Partner's Phone Number (if not applicable, put N/A)
Your answer
Estimated Due Date
MM
/
DD
/
YYYY
How did you find out about the workshop? *
Your answer
Will you allow photos to be taken of you/your partner during the series for educational and promotional purposes? *
How would you like to pay your registration fee?
This is the link to Karen's Above & Beyond Birth Workshop Contract. https://docs.google.com/document/d/1Yfesk469nvWsZGz2IKM9YTmlY-VwD6Ti15fJFZjFiLM/edit?usp=sharing How would you like to sign it?
Birth Attendant and Birth Place?
Your answer
Number of Children?
Your answer
Please choose 4 topics that you are most interested in learning about as you contemplate your upcoming labor, birth and postpartum period? *
Required
Are you interested in Karen's doula services and would like to schedule a free consultation with Karen?
If you have any questions about the workshop, please list those here:
Your answer
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