Group Class Registration Sheet
Please complete this form to register for Group Childbirth and / or Breastfeeding & Newborn Care Classes!
Your name: *
Your answer
Partner or Support Person's name:
Your answer
Your prenatal provider:
Your estimated due date: *
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Have you given birth previously?
Email address: *
Your answer
Phone number: *
Your answer
Your address:
Your answer
Doula:
Your answer
Please complete the following to register for Childbirth Education Class
Please select a class:
Cost: $140 for four week series on Tuesdays from 6 - 8pm at Olympia Obstetrics OR $120 for a one day class on Saturday from 9:30am - 4:30pm. *Classes include an optional tour of St Peter's Family Birth Center*
What is important for you to learn from this class?
Your answer
Do you have any special circumstances you'd like me to be aware of? (multiples, high risk pregnancy...)
Your answer
Please complete the following to register for Breastfeeding & Newborn Care
Please select a class:
Cost: $30 for 1 evening class, select Tuesdays from 6 - 8:40pm at Olympia Obstetrics. ($20 if taken along with a childbirth education class or series.)
What is important for you to learn about breastfeeding & newborn care?
Your answer
Payment
If payment is an issue, please let me know in the comments section, payment plans, sliding scales, or scholarships may be available on a case by case scenario.
Your payment method: *
Cancellation / No Show / Refund Policy *
​CANCELLATION / NO SHOW / REFUND POLICY --- ​If you've registered and paid for classes and are unable to attend, the instructor will refund your registration less a $10 processing fee. Cancellations must be received at least one week prior to the first day of class in order to be eligible for a refund. Please allow up to two weeks for your refund to be processed. If you cancel less than one week prior to the first day of class you are not eligible for a refund. ​If you "no-show" for a class you've registered for and have not given prior notice to the instructor you will be responsible for the full class fee. ​In the rare case of inclement weather, or instructor emergency or illness when a substitute is not available, classes may be cancelled. Every effort will be made to provide as much notice as possible and to schedule a make up class as soon as possible. In cases where a make up class is not possible, a partial or full refund may be available.
Finally, how did you hear about Foveo Birth & Baby classes? *
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