Group Class Registration Sheet
Classes are held at 2 convenient locations!
Olympia Obstetrics & Gynecology - 615 Lilly Rd NE #200, Olympia, WA, 98506.
Or True Self Wellness - 2727 Westmoor Ct SW, Olympia, WA 98502
If a class is listed as *VIRTUAL* it will meet over zoom and you'll be mailed your materials ahead of time.
Congratulations on your pregnancy! I'm looking forward to meeting you and am excited to help you prepare to welcome a new life into your family. Please select classes that fall in your third trimester of pregnancy. If the class you're hoping to register for is marked *FULL*, you will be added to the class wait list and notified as soon as possible should a space become available.
Your name & pronouns:
Partner or Support Person's name & pronouns:
Your prenatal provider:
Olympia Obstetrics & Gynecology
Olympia Women's Health
Providence Family Medicine
Around the Circle Midwifery
South Sound Women's Center
Madigan Army Medical Center OBGYN / Midwifery
Franciscan Women's Health
Providence Women's Center - Centralia
Your Planned birthing location:
Free Standing Birth Center
Your estimated due date:
Have you given birth previously?
Yes, I have an older child (or children).
No, this is my first child.
You'll receive a registration confirmation at this email as well as all relevant class emails. Your email address is never shared or used for marketing.
Partner or support person's email address:
Please include if you'd like them to also receive class emails.
Please complete the following to register for a 4 week series OR a one day Saturday childbirth education class
Please select to register for a 4 week class series:
Cost: $160 for four week series on Tuesdays from 6 - 8pm at Olympia OB. Class is led by a certified childbirth educator.
September 21st - October 12th - Instructor: Dianne - Facility: Oly OB
November 2nd - 23rd - Instructor: Stefanie - Facility Oly OB
December 7th - 28th - Instructor: Dianne - Facility Oly OB
January 11th - February 1st - Instructor: Dianne - Facility Oly OB
March 1st - 22nd - Instructor: Dianne - Facility Oly OB
Please select to register for a one day Saturday class:
Cost: $160 for a one day class on Saturday from 9am - 4pm. Class is led by a certified childbirth educator.
September 18th, 2021 - Instructor: Stefanie - Facility: True Self Wellness
September 25th, 2021 - Instructor: Dianne - Facility: Oly OB
October 16th, 2021 - Instructor: Stefanie - Facility: Oly OB
October 23rd, 2021 - Instructor: Dianne - Facility: True Self Wellness
November 20th, 2021 - Instructor: Dianne - Facility: Oly OB
November 27th, 2021 - Instructor: Dianne - Facility: True Self Wellness
December 11th, 2021 - Instructor: Stefanie - Facility: Oly OB
December 18th, 2021 - Instructor Dianne - Facility: True Self Wellness
January 15th - Instructor: Dianne - Facility: Oly OB
January 29th - Instructor: Dianne - Facility: Oly OB
February 12th - Instructor: Stefanie - Facility: Oly OB
February 26th - Instructor: Dianne - Facility: Oly OB
March 12th - Instructor: Stefanie - Facility: Oly OB
March 26th - Instructor: Dianne - Facility: Oly OB
What is important for you to learn from this class?
Do you have any special circumstances you'd like me to be aware of? (multiples, high risk pregnancy...)
Please complete the following to register for Breastfeeding & Newborn Care
Please select a class:
Cost: $40 for 1 evening class. In person classes meet select Tuesdays from 6 - 8:45pm at Olympia Obstetrics and are taught by Stefanie Anderson, IBCLC. Virtual classes meet over Zoom on select Thursdays from 6 - 8:45pm and are taught by Christine Mcclendon, IBCLC.
October 19th, 2021 - Instructor: Stefanie - Facility: Oly OB
November 11th, 2021 *Thursday* - Instructor: Christine - *VIRTUAL* online class
November 30th, 2021 - Instructor: Stefanie - Facility: Oly OB
December 16th *Thursday* - Instructor: Christine - *VIRTUAL* online class
January 4th - Instructor: Stefanie - Facility: Oly OB
February 8th - Instructor: Stefanie - Facility: Oly OB
March 29th - Instructor: Stefanie - Facility: Oly OB
What is important for you to learn about breastfeeding & newborn care?
How many will attend the breastfeeding & newborn care class?
Due to social distancing classes, in person classes are kept small, please let me know if you'll be attending with a support person or on your own so I can arrange proper seating. (Your support person is welcome and encouraged to attend!)
1: Birthing parent only.
2: Birthing parent + support person.
Payment - *Your registration is not complete and your spot in the class is not guaranteed until payment has been submitted or payment arrangements have been agreed upon.*
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:
Credit Card. This includes FSA / HSA cards for childbirth classes. (Please click the payment link provided after you submit this form.)
Check. (Please make checks payable to Stefanie Anderson or Foveo Birth and mail to 2528 10th Ct SE Olympia, WA 98501.)
Cash. (I will contact you to make payment arrangements, please do not mail cash.)
Provider One. (For billing, please provide your full name, date of birth, and client ID number - usually ends in WA - in the comment section below.)
Other. (Please provide information in the comments section.)
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.
Any other comments you'd like to share:
Finally, how did you hear about Foveo Birth & Baby classes?
Family / Friend Referral
Provider Referral (Olympia OBGYN)
Provider Referral (Other Provider)
Flyer or Business Card
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