Group Class Registration Sheet
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.
Partner or Support Person's name:
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 weekly 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 weekly class emails.
Please complete the following to register for Childbirth Education Class
Please select to register for a 4 week class series:
Cost: $140 for four week series on Tuesdays from 6 - 8pm at Olympia OB. Class is led by a certified childbirth educator.
November 3rd - 24th, 2020 - Stefanie
January 5th - 26th, 2021 - Dianne
February 23rd - March 16th, 2021 - Stefanie
April 13th - May 4th, 2021 - Stefanie
June 1st - 22nd, 2021 - Stefanie
July 6th - 27th, 2021 - Dianne
Please select to register for a one day Saturday class:
Cost: $120 for a one day class on Saturday from 9:30am - 4:30pm at Olympia OB. Class is led by a certified childbirth educator. *Note: class time changes in 2021 to 9am to 4pm*
December 5th, 2020 - Stefanie *online*
January 16th, 2021 - Dianne
February 20th, 2021 - Stefanie
March 20th, 2021 - Dianne
April 17th, 2021 - Stefanie
May 22nd, 2021 - Stefanie
June 26th, 2021 - Dianne
July 24th, 2021 - Dianne
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: $30 for 1 evening class, select Tuesdays from 6 - 8:40pm at Olympia Obstetrics. Class is taught by Stefanie Anderson, IBCLC.
December 1st, 2020 *online*
February 2nd, 2021
March 23rd, 2021
May 11th, 2021
June 29th, 2021
August 3rd, 2021
What is important for you to learn about breastfeeding & newborn care?
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:
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.)
Credit Card or PayPal. (Please click the payment link provided after you submit this form.)
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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