Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Baby's Guess Date
*
MM
DD
YYYY
Is this your first baby?
*
If not, how many other children do you have, and what are their ages?
Are you registering for birth sessions, posptartum sessions, or both?
*
Please tell me about yourself and what you are hoping to receive from our sessions together.
*
Where do you plan on birthing?
*
Will you be attending these sessions with a partner?
*
One partner is included with your registration fee. This person can be the other parent, a grandparent, or a friend, for example.
If yes, who will be attending with you?
Are you interested in hosting this for a private group?
*
If yes, please have each participant complete a separate registration. Please also list their names here so that I can look out for their form submissions.
Will you be needing an alternative payment arrangement?
*
Thank you! I will be in touch via email within one week to discuss your registration details, payment, and scheduling.
With gratitude,
