Vida's Course Booking Enquiry Form
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. From August 2018 course cost is $425 IF paid 4 weeks before course start, or $475 within 4 weeks of course start.
Email address *
Pregnant Mum's Full Name *
Your answer
Baby's Expected Due Date *
MM
/
DD
/
YYYY
Which Calmbirth Course are you interested in booking on to? *
If it says FULLY BOOKED, 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 NOT interested in a Calmbirth Course, please indicate what you would like to contact me about:
Dad-to-be's / 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
Your answer
Home Telephone *
Landline - if applicable (please state n/a if do not have one)
Your answer
Mobile Telephone *
Your answer
Your Home Address *
Your answer
Who is your Lead Maternity Carer (e.g. Midwife, Obs)? *
Your answer
How did you hear about the Calmbirth Course? *
Required
Would you like: *
Anything else that you would like to let Vida know?
Your answer
A copy of your responses will be emailed to the address you provided.
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