Vida's Calmbirth Course ENQUIRY Form

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*** Vida is currently taking a break from facilitating courses, but Deb Peters (the Auckland Educator) is still running regularly zoom courses, and occasionally in-person ones in Lower Hutt (Wellington region) please check out the calmbirth.nz website.*** Weekend courses with Registered Calmbirth Educator, Vida Rye, in Wellington, NZ. If you would prefer to speak to me my telephone number is 04 589 7802. This is an ENQUIRY form only. There is a separate booking form on my website if you would like to book on now. The course cost from 2022 is $445 IF paid in full 4 weeks before course start, or $495 within 4 weeks of course start. In either case, a non-refundable deposit of $100 is required to secure your place on the course.

Email *

Pregnant Woman's Full Name *

Baby's Expected Due Date *

YYYY

Which Calmbirth Course that is already fully booked are you interested in booking on to? or if you are enquiring about next year please indicate when you would like a course. Please indicate month and year... *

If it says FULLY BOOKED on the website, please do contact me to show your interest as very occasionally I am able to put on an extra course to accommodate those on the wait list, or sometimes another Educator from Auckland can come down to take another course.....if you are not interested in a Calmbirth course, please indicate what you would like to contact Vida about below...

Partner's / Birth Partner's Full Name *

Name of who will attend course with you - it is great for the person who will be supporting you at the birth to also learn about and practice the Calmbirth techniques

If NOT interested in a Calmbirth Course, please indicate what you would like to contact me about:

Infant Massage Courses

Doula-ing (enquiries from wanna-be-doulas)

Other:

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Home Telephone *

Landline - if applicable (please state n/a if do not have one)

Mobile Telephone *

Your Home Address *

Who is your Lead Maternity Carer (e.g. your Midwife's or Obstetrician's name)? *

How did you hear about the Calmbirth Course? *

Midwife

Obstetrician

Hospital Staff

Word of Mouth / Friend

Internet Search

Childbirth Education Classes

Advertising

Not applicable

Other:

Required

Would you like: *

Info to be sent to you by email?

To book on to a course? If so a full booking form will be sent to you with payment info shortly after you submit this form

To be sent dates for next year once confirmed

Anything else that you would like to let Vida know?

A copy of your responses will be emailed to the address you provided.

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