Welcome to Birth & Beyond Childbirth Education
My classes are holistic and comprehensive, covering everything you need to know to prepare for an all natural, unmedicated labor and birth... the safest for both the birther and baby. We also will cover newborn care, nursing, and postpartum care.

With the series, each couple will receive:
*Plenty of useful information
*Videos for homework to help further your research
*Access to my library of books
*Access to birth videos that will help you prepare
*Access to me, as I am available to you 24 hours a day throughout your pregnancy and beyond for questions or support

Please dress comfortably!

Feel free to contact me with any concerns you have until then: Jenn @ 22-HELPSMOM (224-357-7666)

If you could answer a few questions for me prior to the first class, I would appreciate it!

Birther’s First and Last Name *
Your answer
Birther’s Cell Phone Number *
Your answer
Birther’s Email Address *
Your answer
Home Address *
Your answer
When is your estimated guess date? *
MM
/
DD
/
YYYY
Partner's First and Last Name *
(Who will be present at the birth and attending classes)
Your answer
Partner's Cell Phone Number *
Your answer
Partner's Email Address *
Your answer
Is it ok to contact your partner? *
Who is your care provider for this pregnancy? *
Your answer
Where is your planned place of birth? *
(If at a hospital, please tell me which one)
Your answer
How did you hear about this series? *
Your answer
What number pregnancy is this? *
Your answer
What number birth is this? *
Your answer
If you have had other births, please list if they were vaginal or cesarean and tell me anything else you'd like to share about your previous birth experiences:
Your answer
Do you plan to have any other labor support present at birth? *
Required
If yes, who will be attending the birth other than your partner?
Your answer
How do you feel about taking this course? *
Your answer
How does your partner feel about taking this course? *
Your answer
What is one thing you hope to learn from this course? *
Your answer
What is the most important goal you have for your birth?
Your answer
List any special concerns or information you would like me to know prior to starting class:
Your answer
Which series are you signing up for? *
Thank you so much for signing up for class! A $50 deposit is needed to hold your spot. I will send you a confirmation email with more information!
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