Supportive Caregivers Registration Form

Hypnobirthing Australia™ Supportive Caregiver course

My Birth Geelong
Full name*

First NameLast Name
Address*

Street Address

Street Address Line 2

SuburbState

Post CodeCountry
Email*
Phone number*
What is your profession? (i.e. Midwife, Doctor, Doula, Midwifery Student, etc.)*
Which class would you like to enrol in? Classes are 6hrs (9:30am-4:00pm)*
How did you find out about this course through My Birth Geelong?
If you have any questions or dietary requirements, please let me know!
Please note that full payment is required to secure your booking.

Cancellations with 7+ days notice of class commencing are refundable, or transferrable to another available class date.

Pricing is as follows:

$175- Early bird (must be paid at time of booking, and at least 4 weeks prior to class commencing)

$195- Standard rate (bookings less than 4 weeks prior to class commencing)

$150- Student rate

PAYMENT DETAILS:

Bank Transfer/ PayID- felicity@mybirthgeelong.com.au

BSB-083646 ACC-538570988

PayPal- felicity@mybirthgeelong.com.au (credit card payments only)

Thank you for booking with My Birth Geelong!
Should be Empty:

Hypnobirthing Australia™ Supportive Caregiver course